Jennifer Boylan

NPI 1609414440 · on the registry since 2019

Practice

Address: 300 E Washington Blvd
Fort Wayne, IN 46802
Phone: (260) 417-9540
Fax: (260) 454-2083
Organisation at this address: Ft Wayne Opco Llc
Nss-Alf Fort Wayne Llc
Lamplight Inn Of Fort Wayne, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
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