MEDICARE: TIFFANY M GEARHART NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	28248540A	IN

General Provider Information

NPI Number	:	1871242263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY M GEARHART NP

Provider Business Mailing Address
First Line	:	7613 W JEFFERSON BLVD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-4181
Country	:	US
Telephone Number	:	260-469-7337
Fax Number	:	260-469-7340

Provider Business Practice Location Address
First Line	:	7613 W JEFFERSON BLVD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-4181
Country	:	US
Telephone Number	:	260-469-7337
Fax Number	:	260-469-7340

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2022
Last Update Date	:	03/22/2022

Similar Medicare Providers

1619329489 — DARRION GRANT COTA/L
Practice Location Address:

6105 PORTICO DR APT 1322
FORT WORTH, TX
76132-4181

Practice Phone: 407-437-9141
Practice Fax:

1205799137 — LILLIAN FILLER
Practice Location Address:

5601 COVENTRY LN
FORT WAYNE, IN
46804-7145

Practice Phone: 260-459-6040
Practice Fax:

1760869127 — MELISSA WILLIAMS
Practice Location Address:

5601 COVENTRY LN
FORT WAYNE, IN
46804-7145

Practice Phone: 260-459-6040
Practice Fax:

1316550320 — MARLENE A SANCHEZ RBT
Practice Location Address:

5601 COVENTRY LN
FORT WAYNE, IN
46804-7145

Practice Phone: 260-755-1438
Practice Fax:

1770446304 — JAYLA SIMS
Practice Location Address:

5601 COVENTRY LN
FORT WAYNE, IN
46804-7145

Practice Phone: 260-459-6040
Practice Fax:

1164386637 — JACOB C ROBBINS
Practice Location Address:

6202 CONSTITUTION DR
FORT WAYNE, IN
46804-1583

Practice Phone: 260-432-0066
Practice Fax:

Directions to “ TIFFANY M GEARHART NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.