Doctor Name: | JODI M DODSON |
NPI Number: | 1003986563 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | R0053999 |
Business Practice Address: | 1139 36th Ave Nw Suite 100 Norman, OK - 730724103 |
Business Phone Number: | 4052179997 |
Business Fax Number: | 4053078520 |
Mailing Address: | 18100 Providence Ave, EDMOND |
State: | OK |
Postal Code: | 730034142 |
Phone Number: | 4053403971 |
Fax Number: | |
NPI Enumeration Date: | 11/09/2006 |
NPI Last Update Date: | 05/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | R0053999 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |