Cepeda, Jody

Cepeda, Jody is an individual health care provider with primary practice located at 384 Crystal Run Rd Ste 201 , Middletown NY 10941-4073. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cepeda, Jody can be contacted via phone (845) 692-8780.

Contact Information

Primary practice address
384 Crystal Run Rd Ste 201 Middletown NY 10941-4073
Phone: (845) 692-8780
Fax: (845) 692-3439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F334584-1 New York

Profile Details

NPI number 1801967484
LBN Legal business name Cepeda, Jody
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Dec 29th, 2023 - about last year

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 1801967484 NPPES
New York Other F334584-1 LIC#

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