MR. JUSTIN MICHAEL GARRISON FNP-C NPI 1003783614

NPI Information

  • NPI: 1003783614
  • Provider Name: MR. JUSTIN MICHAEL GARRISON, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 4008 STANTON DR
    FORT WAYNE, IN
    ZIP 46815
  • Phone: (260) 760-7753

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NPI Details

MR. Justin Michael Garrison, FNP-C is a family nurse practitioner in Fort Wayne, IN. MR. Justin Michael Garrison, FNP-C NPI is 1003783614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4008 STANTON DR
FORT WAYNE, IN
ZIP 46815-044
Phone: (260) 760-7753

The enumeration date for this NPI number is 10/20/2025 and was last updated on 10/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily28237511AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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