Jana Marie Bakle, RN
Individual provider Active NPI Registered Nurse · Fort Wayne, IN
NPI 1306478573 · NPPES record last updated Feb 6, 2020
Key facts
- NPI
- 1306478573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 28188725A (IN)
- Practice address
- 2121 Lake Ave
Fort Wayne, IN 46805-5100 - Phone
- (260) 426-5431
- NPI assigned
- Feb 6, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28188725A | IN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28188725A | IN | Yes |
Addresses
Primary practice location
2121 Lake Ave
Fort Wayne, IN 46805-5100
Mailing address
2121 Lake Ave
Fort Wayne, IN 46805-5100
Phone (260) 426-5431
Other names
- Jana Marie Mahathy
Other providers in Fort Wayne, IN
- Rachel Marie Baker
- Ronald L Baker
- Samantha Marie Baker
- Whitney Cristine Baker
- Rahul Atul Bakhle
- Aya Balan
- Balanced Counseling and Consultation
- Patricia E Baldwin-Bodie
- Charles Balke
- Bryce Ball
All providers in Fort Wayne, IN · Registered Nurse in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.