JOLYNN WANN


Address: 11104 Parkview Circle Dr Ste 40, Fort Wayne, IN 46845-1672
Phone: 2602417732

JOLYNN WANN (NPI# 1831405547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831405547
Entity Type Individual
Full Name JOLYNN WANN
Credential NP
Practice Address 11104 Parkview Circle Dr Ste 40
Fort Wayne
IN 46845-1672
Practice Telephone 2602417732
Practice Fax Number 2602665369
Mailing Telephone 2602417732
Mailing Fax Number 2602665369
Enumeration Date 2010-08-19
Last Update Date 2016-04-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
28160837A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 201018370 05

Office Location

Street Address 11104 PARKVIEW CIRCLE DR STE 40
City FORT WAYNE
State IN
Zip Code 46845-1672

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538193826 Shaker Itani Internal Medicine 11104 Parkview Circle Dr Ste 40, Fort Wayne, IN 46845-1733 2006-07-10
1164936969 Nicole Hartman Nurse Practitioner 11104 Parkview Circle Dr Ste 40, Fort Wayne, IN 46845-1733 2017-12-01
1063851913 Aaron Ochoa Internal Medicine 11104 Parkview Circle Dr Ste 40, Fort Wayne, IN 46845 2013-06-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881154110 Nancy Jean Ehmke Clinical Nurse Specialist 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 2019-03-22
1043703903 Kara Stackhouse Nurse Practitioner 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 2018-06-14
1871082412 Tara K Jellison Pharmacist 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 2018-05-09
1578097572 Forefront Dermatology, S.c. Dermatology 4020 New Vision Drive, Fort Wayne, IN 46845 2017-04-17
1811437999 Jessica Ann Lefever Behavioral Analyst 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 2017-03-08
1033668041 Bhi Home Care, Inc. In Home Supportive Care 820 Mill Lake Road, Fort Wayne, IN 46845 2016-10-03
1467814939 Austin Wyss Specialist/Technologist 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 2016-03-24
1154713584 Ashley Whitcraft Specialist/Technologist 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 2015-02-23
1275975682 Lakshmi Mohan Viji Das Internal Medicine 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 2013-07-26
1336482496 Mithun Mohana Shenoi Colon & Rectal Surgery 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 2013-03-27
Find all providers in zip 46845

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518566397 Stacey Renee Pulver Nurse Practitioner 13134 Hollow Oak Rd, Fort Wayne, IN 46845-2327 2020-10-22
1649878554 Heather Ormiston-leclear Nurse Practitioner 3800 N Anthony Blvd # Cc1335, Fort Wayne, IN 46805-1430 2020-10-13
1669081618 Carly Ann Nahrwold Nurse Practitioner 7025 Old Trail Rd # 9574, Fort Wayne, IN 46809-2713 2020-07-27
1932725942 Health Essential LLC Nurse Practitioner 3030 Lake Ave Ste 14, Fort Wayne, IN 46805-5428 2020-06-25
1942824842 Carissa Miller Nurse Practitioner 707 Rollingwood Ln, Fort Wayne, IN 46845-1088 2020-06-05
1891329819 Jasmine Monae Tubbs Nurse Practitioner 875 Petal Way, Fort Wayne, IN 46816-8900 2020-02-28
1235780362 Elizabeth Rose Lichtsinn Nurse Practitioner 3919 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-6811 2019-09-20
1033676275 Amanda Warner Nurse Practitioner 2229 Woods Rd, Fort Wayne, IN 46818-9539 2019-02-25
1669940714 Brookelyn Agler Nurse Practitioner Summit Radiology, PC, 5001 Us Highway 30 W, Suite D, Fort Wayne, IN 46818-9701 2018-11-07
1346731908 Erin Nicole Zimmerman Nurse Practitioner 10170 Illinois Rd # 14, Fort Wayne, IN 46804 2018-05-19
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46845

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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