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JASON FANSLER

Nurse Practitioner

NPI: 1659037836IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

71011989A(IN)
Family Nurse Practitioner

Nurse Practitioner — Family

Code: 363LF0000X

F10210869(IN)

CMS Specialties

Education

OTHER

Class of 2021

Contact & Hours

Address
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Quick Facts

NPI
1659037836
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
5

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