JODY JOSEPH FNP NPI 1861663510

NPI Information

NPI: 1861663510
Provider Name: JODY JOSEPH, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2349 LAKE AVE STE 100
PLYMOUTH, IN
ZIP 46563
Phone: (574) 472-6700
Get Directions

Jody Joseph, FNP is a family nurse practitioner in Plymouth, IN. Jody Joseph, FNP NPI is 1861663510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2349 LAKE AVE STE 100
PLYMOUTH, IN
ZIP 46563-836
Phone: (574) 472-6700
Fax: (574) 941-3112

The enumeration date for this NPI number is 3/20/2008 and was last updated on 8/27/2013.

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
1	363LF0000X	Nurse Practitioner	Family	71002470A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000726441	OTHER	INDIANA	BCBS
2	200893890	MEDICAID	INDIANA
3	M400053457	MEDICARE PIN	INDIANA
4	P01192731	MEDICARE PIN	INDIANA
5	151020SSS	MEDICARE PIN	INDIANA
6	000000562397	OTHER	INDIANA	ANTHEM, BCBS
7	000000726441	OTHER		BCBS

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: 5/5/2024

NPI Synchronization or Removal

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