Individual provider · Type 1 NPI

Mellisa Jane Lee Free-Stouder, NP

Nurse Practitioner · Fort Wayne, IN

NPI number 1861042707 Active

Practice location

11108 Parkview Circle Dr
Fort Wayne, IN 46845-1730

Call (260) 266-5700 Map

Fax (260) 266-5910

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71016954A (IN)
Family Nurse Practitioner 363LF0000X201907957NP-PP (OR)

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 1861042707

Mellisa Jane Lee Free-Stouder, NP's National Provider Identifier is 1861042707, issued on Sep 12, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 20, 2026.