| Doctor Name: | JODI ANN DAILEY |
| NPI Number: | 1205143542 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APNP |
| License Number: | 2695-033 |
| Business Practice Address: | N2665 County Road Qq King, WI - 549460600 |
| Business Phone Number: | 7152563281 |
| Business Fax Number: | |
| Mailing Address: | N2665 County Road Qq, KING |
| State: | WI |
| Postal Code: | 549460600 |
| Phone Number: | 7152563281 |
| Fax Number: | |
| NPI Enumeration Date: | 09/08/2010 |
| NPI Last Update Date: | 09/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 2695-033 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |