Individual provider · Type 1 NPI

Julie R. Stackhouse, CNM

Nurse Practitioner · Fort Wayne, IN

NPI number 1942352802 Active

Practice location

2414 E State Blvd, Suite 101
Fort Wayne, IN 46805-4760

Call (260) 422-7455 Map

Fax (260) 422-0086

Mailing address

6920 Pointe Inverness Way Ste 200
Fort Wayne, IN 46804-7934

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71001177A (IN)
Advanced Practice Midwife 367A00000X09000127A (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…

4 other providers at this address

Other nurse practitioner providers in Fort Wayne

See all in Fort Wayne →

About NPI 1942352802

Julie R. Stackhouse, CNM's National Provider Identifier is 1942352802, issued on Jan 18, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 30, 2020.