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Contact Information

JULIANA GULLETT
2514 E DUPONT RD STE 100
FORT WAYNE, IN46825-1619
 Phone: 260-484-8830
 Fax: 260-483-1911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Critical Care Medicine

163WC0200X
Indicates primary specialty

NPI Profile & details for JULIANA GULLETT · (Female)

NPI Number 1174206338
Status Active
Credentials
Entity Individual
Enumeration date 08/14/2023
Last updated 01/28/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • IN License # 28230580A
  • IN License # 71014502A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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