| Doctor Name: | JODI RAE FIRBY |
| NPI Number: | 1073650289 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 4704229471 |
| Business Practice Address: | 325 E H St Iron Mountain, MI - 498014760 |
| Business Phone Number: | 9067743300 |
| Business Fax Number: | |
| Mailing Address: | 779 Wabash St, ISHPEMING |
| State: | MI |
| Postal Code: | 498491132 |
| Phone Number: | 9064869519 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 05/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4704229471 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |