Individual provider · Type 1 NPI

Jared Caudill, RN

Family Nurse Practitioner · Fort Wayne, IN

NPI number 1790454650 Active

Practice location

3512 Stellhorn Rd
Fort Wayne, IN 46815-4631

Fax (260) 483-9196

Mailing address

PO Box 392552
Pittsburgh, PA 15251-9552

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X28189591A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1790454650

Jared Caudill, RN's National Provider Identifier is 1790454650, issued on Sep 13, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 13, 2021.