Bode, Jessica D

Bode, Jessica D is an individual health care provider with primary practice located at 1130 Medical Arts Blvd Ste 250 , Anderson IN 46011-3431. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Bode, Jessica D can be contacted via phone (765) 298-4282.

Contact Information

Primary practice address
1130 Medical Arts Blvd Ste 250 Anderson IN 46011-3431
Phone: (765) 298-4282
Fax: (765) 298-4989
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 28150756A Indiana

Profile Details

NPI number 1053958546
LBN Legal business name Bode, Jessica D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2019
Last updated Nov 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053958546 NPPES
Indiana MEDICAID 300035751

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