Search › Indiana › 363A00000X
Jessica Dorris, PA-C, LAT, ATC
NPI 1811444763 · on the registry since 2016
Practice
- Address
- 3946 Ice Way
Fort Wayne, IN 46805 - Phone
- (260) 266-4007
- Fax
- (260) 266-4008
- Clinicians at this address
- 92
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 2255A2300X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-29
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