| Doctor Name: | JODI BIXLER KING |
| NPI Number: | 1023134517 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | RN288113L |
| Business Practice Address: | 1000 S Mercer St 4th Floor New Castle, PA - 161014672 |
| Business Phone Number: | 7246584688 |
| Business Fax Number: | 7246588810 |
| Mailing Address: | 1000 S Mercer St, 4th Floor NEW CASTLE |
| State: | PA |
| Postal Code: | 161014672 |
| Phone Number: | 7246584688 |
| Fax Number: | 7246588810 |
| NPI Enumeration Date: | 03/22/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | RN288113L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |