Doctor Name: | JODI LYNN KURTZ |
NPI Number: | 1013342658 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DNP NP-C, WHNP-BC |
License Number: | 194294-7 |
Business Practice Address: | 2419 Morse St Janesville, WI - 535450221 |
Business Phone Number: | 6087589300 |
Business Fax Number: | |
Mailing Address: | 728 Glenway St Apt 301, MADISON |
State: | WI |
Postal Code: | 537111773 |
Phone Number: | 6084388332 |
Fax Number: | |
NPI Enumeration Date: | 09/12/2013 |
NPI Last Update Date: | 09/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 194294-7 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |