SearchIndiana3747A0650X

Jamie Witherspoon

NPI 1578446282 · on the registry since 2025 · sole proprietor

Practice

Address
3322 Inwood Dr
Fort Wayne, IN 46815
Phone
(260) 438-8443
Fax
(260) 438-8443

Registry record

Primary taxonomy
3747A0650X
3747A0650X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-29

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