Individual provider · Type 1 NPI

Joshua Daniel Avery, FNP-BC

Nurse Practitioner · Lagrange, IN

NPI number 1952913279 Active

Practice location

2600 N Detroit St
Lagrange, IN 46761-1154

Call (260) 463-4896 Map

Fax (260) 463-5242

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71010287A (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 1952913279

Joshua Daniel Avery, FNP-BC's National Provider Identifier is 1952913279, issued on Aug 18, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lagrange, IN. The record was last updated on Sep 3, 2026.