MISS Jenifer Kay Fortney, PA-C
NPI #1073963351 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1073963351
- Entity Type
- Individual
- Name
- MISS Jenifer Kay Fortney, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Jun 16, 2016
- Last Updated
- Dec 11, 2019
Practice Location
- Address
- 5650 COVENTRY LN
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-7140
- Phone
- (217) 508-8478
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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