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MOLLY CATHERINE LONG N.P.
NPI 1164815379
Nurse Practitioner - Adult Health in Fort Wayne, IN

Active since March 12, 2015
3512 STELLHORN RD, FORT WAYNE, IN 46815(260) 483-9081(260) 483-9196 Get Directions Write a Review

NPPES record last updated: December 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2018, Aug 1, 2018 (2 updates tracked since 2018).

About Molly Catherine Long N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOLLY CATHERINE LONG N.P. (NPI 1164815379) is an individual adult health provider in Fort Wayne, Indiana, licensed in Indiana (71005386A) and active in the NPI registry since March 2015. She maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1164815379
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMOLLY CATHERINE LONGCredential: N.P.
Location Address3512 STELLHORN RDFort Wayne, IN 46815-4631
Mailing AddressPo Box 392552Pittsburgh, PA 15251-9552 · (260) 483-9081 · Fax (260) 436-9662
Phone(260) 483-9081
Fax(260) 483-9196
Sole ProprietorNo
Enumeration DateMarch 12, 2015
Last NPPES UpdateDecember 6, 20182 updates tracked since enumeration
✔ NPI 1164815379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IN · 71005386A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28192221A (IN)
3512 STELLHORN RD, Fort Wayne, IN 46815
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Secondary Practice Location 1

Location 17956 W Jefferson BlvdFort Wayne, IN 46804 · Phone (260) 436-2416 · Fax (260) 436-9662

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LHYRA DAWIS MAYORALGO PT
Contractor
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
CHANEL JONES NP
Nurse Practitioner (Family)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
HAMUTYINEI H MAMUTSE
Nurse Practitioner (Psychiatric/Mental Health)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
ZEINAB HASSAN NP
Nurse Practitioner (Gerontology)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
LINDA ROMINES
Nurse Practitioner (Family)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
CORTNEY WILCOX FNP
Nurse Practitioner (Family)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
LINDA D WOENKER OT
Occupational Therapist
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
MRS. JODI LYNN GUY FNP-C
Nurse Practitioner (Family)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Molly Long's NPI number?

The NPI number for Molly Long is 1164815379. It was assigned to this individual provider in the NPPES registry on March 12, 2015.

Where is Molly Long located?

Molly Long practices at 3512 Stellhorn Rd, Fort Wayne, IN 46815. The listed phone number is (260) 483-9081.

What is Molly Long's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Molly Long was last updated on December 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.