IndividualActive
Jacqulyn Thomas
NPI 1316648355 · Urology Registered Nurse · Fort Wayne, IN
Provider details
- NPI number
- 1316648355
- Entity type
- Individual
- Primary specialty
- Urology Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 28149682A (IN)
Practice location
2121 Lake Ave
Fort Wayne, IN 46805-5100
Phone: (260) 426-5431
Fax: (260) 460-1385
Mailing address
2121 Lake Ave
Fort Wayne, IN 46805-5100
Registry dates
- Enumerated
- 2023-03-16
- Last updated
- 2023-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.