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Jenifer Fortney, PA-C
NPI 1073963351 · on the registry since 2016
Practice
- Address
- 5650 Coventry Ln
Fort Wayne, IN 46804 - Phone
- (217) 508-8478
- Organisation at this address
- Three Rivers Dermatology, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Additional practice sites
- 7950 W Jefferson Blvd, Fort Wayne, IN
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana