Search › Indiana › 106S00000X
Jeremy Stults
NPI 1235017294 · on the registry since 2025
Practice
- Address
- 5750 Falls Dr
Fort Wayne, IN 46804 - Phone
- (260) 204-5719
- Clinicians at this address
- 69
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-26
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