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JULIE R. STACKHOUSE CNM
NPI 1942352802
Nurse Practitioner in Fort Wayne, IN

Active since January 18, 2007
2414 E STATE BLVD, SUITE 101, FORT WAYNE, IN 46805(260) 422-7455(260) 422-0086 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Julie R. Stackhouse Cnm NPPES

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

JULIE R. STACKHOUSE CNM (NPI 1942352802) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71001177A) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1942352802
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJULIE R. STACKHOUSECredential: CNM
Location Address2414 E STATE BLVD, SUITE 101Fort Wayne, IN 46805-4760
Mailing Address6920 Pointe Inverness Way Ste 200Fort Wayne, IN 46804-7934 · (260) 479-3516 · Fax (260) 479-3520
Phone(260) 422-7455
Fax(260) 422-0086
Sole ProprietorNo
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJanuary 30, 2020
✔ NPI 1942352802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71001177A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 09000127A (IN)
2414 E STATE BLVD, Fort Wayne, IN 46805
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Other Names 1

Former Name (1)Julie R. Mitchener

Other Identifiers 1

Medicaid200847020IN

Other Providers at the Same Location NPPES 4

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

MRS. CHERYL AMANDA GRATZ LSW
Social Worker
2414 E STATE BLVD, SUITE 304
FORT WAYNE, IN 46805
Allen County (260) 373-8060
JOHN R STANFORD M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2414 E STATE BLVD, CAREW BUILDING #1, SUITE 201
FORT WAYNE, IN 46805
Allen County (260) 482-4741
NORTHEAST OBSTETRICS & GYNECOLOGY, LLC
Obstetrics & Gynecology
2414 E STATE BLVD, SUITE 101
FORT WAYNE, IN 46805
Allen County (260) 422-7455
ALLIED PHYSICIANS INC., D/B/A INDIANA OHIO HEART
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2414 E STATE BLVD, CAREW BUILDING
FORT WAYNE, IN 46805
Allen County (260) 482-4741

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 Julie Stackhouse's NPI number?

The NPI number for Julie Stackhouse is 1942352802. It was assigned to this individual provider in the NPPES registry on January 18, 2007. The provider is also known as Julie R. Mitchener.

Where is Julie Stackhouse located?

Julie Stackhouse practices at 2414 E State Blvd Suite 101, Fort Wayne, IN 46805. The listed phone number is (260) 422-7455.

What is Julie Stackhouse's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Julie Stackhouse was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.