Individual provider · Type 1 NPI
Reginald L. Humphrey, NP
Nurse Practitioner · Fort Wayne, IN
Practice location
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Fax (260) 266-2009
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000012531 (TN) |
| Nurse Practitioner Primary | 363L00000X | 71000812A (IN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1619978178
Reginald L. Humphrey, NP's National Provider Identifier is 1619978178, issued on Aug 9, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 20, 2022.