Doctor Name: | MS. JODIE LEE KNODELL |
NPI Number: | 1023248465 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN320561 |
Business Practice Address: | 5268 Wyandot Rd E Nevada, OH - 448499605 |
Business Phone Number: | 7402253695 |
Business Fax Number: | |
Mailing Address: | 5268 Wyandot Rd E, NEVADA |
State: | OH |
Postal Code: | 448499605 |
Phone Number: | 7402253695 |
Fax Number: | |
NPI Enumeration Date: | 07/20/2009 |
NPI Last Update Date: | 07/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0400X |
License Number: | RN320561 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Case Management |
Taxonomy Definition: |