Individual provider · Type 1 NPI
Rebecca Sue Gump, NP
Adult Health Nurse Practitioner · Fort Wayne, IN
NPI number
1780798694
Active
Practice location
2121 Lake Ave
Fort Wayne, IN 46805-5100
Fax (260) 460-1425
Mailing address
9030 Mccomb Rd
Churubusco, IN 46723-9441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 71000263A (IN) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1780798694
Rebecca Sue Gump, NP's National Provider Identifier is 1780798694, issued on Aug 18, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 8, 2007.