NPI 1992547640 · live from the CMS NPI Registry
Jessica Rose Allison, DO
Family Medicine in Fort Wayne, IN. National Provider Identifier 1992547640, active.
NPI record
| NPI | 1992547640 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 750 Broadway Ste 350, Fort Wayne, IN 46802 |
| Practice phone | 260-423-2675 |
| Mailing address | 750 Broadway Ste 250, Fort Wayne, IN 46802 |
| Enumerated | June 12, 2024 |
| Last updated | June 12, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 11023811A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.