Individual provider · Type 1 NPI

Jacob Wade, NP

Family Nurse Practitioner · Lafayette, IN

NPI number 1629856190 Active

Practice location

2600 Greenbush St
Lafayette, IN 47904-2479

Fax (765) 447-9749

Mailing address

3907 Alex Ct
Lafayette, IN 47905-7746

Specialties and licenses

TaxonomyCodeLicense
Medical-Surgical Registered Nurse 163WM0705X28259521A (IN)
Family Nurse Practitioner Primary 363LF0000X71015663A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1629856190

Jacob Wade, NP's National Provider Identifier is 1629856190, issued on Sep 18, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lafayette, IN. The record was last updated on Jan 1, 2025.