Individual provider · Type 1 NPI

Kortney Michelle Dodge, FNP-C

Nurse Practitioner · Fort Wayne, IN

NPI number 1669045845 Active

Practice location

11104 Parkview Circle Dr Ste 20
Fort Wayne, IN 46845-1733

Call (260) 266-2500 Map

Fax (260) 266-2514

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71011300A (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 1669045845

Kortney Michelle Dodge, FNP-C's National Provider Identifier is 1669045845, issued on Jul 23, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 20, 2023.