Most Relevant Information
Provider Data
| NPI Number: | 1003057027 |
| Provider Name: | JAMIE LYNN PEPPLER FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 28159253A |
Most Important Dates
| Enumeration Date: | 03/21/2009 |
| Last Updated: | 03/07/2023 |
Provider Practice Location
5910 HOMESTEAD RD
FORT WAYNE
IN
468144202
Practice Location Phone/Fax
| Phone: | 2604353272 |
| Fax: | 2604353275 |
Provider Mailing Location
5910 HOMESTEAD RD
FORT WAYNE
IN
468144202
Provider Mailing Phone/Fax
| Phone: | 2604353272 |
| Fax: | 2604353275 |