Doctor Name: | JODETTE ELLEN COX |
NPI Number: | 1811028657 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 44937 |
Business Practice Address: | 101 W 10th St Eudora, KS - 660259593 |
Business Phone Number: | 7855422345 |
Business Fax Number: | 7858421239 |
Mailing Address: | 101 W 10th St, EUDORA |
State: | KS |
Postal Code: | 660259593 |
Phone Number: | 7855422345 |
Fax Number: | 7858421239 |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 44937 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |