Female

Kara N. Stackhouse

Nurse Practitioner in Fort Wayne, IN(View on Map)

Full Name

Kara N Stackhouse

NPI Number

1043703903

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/14/2018

Specialties

(Taxonomies)

Code

363L00000X

Primary Taxonomy

Yes

Licenses

State

Indiana

License Number

71008099A

Contact
Information

Purpose

Mailing
Location

Address

11109 PARKVIEW PLAZA DR # 117
11050 PARKVIEW PLAZA DRIVE

City

Fort Wayne
Fort Wayne

State

IN
IN

Postal Code

46845-1701
46845

Country

US
US

Telephone Number

N/A
(833) 724-8326

Health Information Exchange

Endpoint Type

DIRECT
FHIR
FHIR

Endpoint

kstackhouse130987@Direct.Parkviewexchange.com
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

Endpoint Description

Unknown
Unknown
Unknown

Use

Unknown
Unknown
Unknown

Content Type

Unknown
Unknown
Unknown

Affiliation

N
N
N

Endpoint Location

11109 Parkview Plaza DrFort Wayne, IN468451701US
11109 Parkview Plaza DrFort Wayne, IN468451701US
11109 Parkview Plaza DrFort Wayne, IN468451701US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/11/2022

Provider Address

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