Search › Indiana › 207Q00000X
Jacquelyn Small, DO
NPI 1225694102 · on the registry since 2019
Practice
- Address
- 3909 New Vision Dr
Fort Wayne, IN 46845 - Phone
- (260) 469-6610
- Fax
- (260) 969-3065
- Organisation at this address
- Parkview Health System Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 93
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- MI, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-03
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