| Doctor Name: | JODI LYNN MISEGADES |
| NPI Number: | 1811123573 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN PHN |
| License Number: | R152074-1 |
| Business Practice Address: | 118 Main Avenue North New York Mills, MN - 565670099 |
| Business Phone Number: | 2183855508 |
| Business Fax Number: | |
| Mailing Address: | Po Box 99, NEW YORK MILLS |
| State: | MN |
| Postal Code: | 565670099 |
| Phone Number: | 2183855508 |
| Fax Number: | |
| NPI Enumeration Date: | 06/08/2009 |
| NPI Last Update Date: | 06/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | R152074-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |