Church, Jody L.

Church, Jody L. is an individual health care provider with primary practice located at 12540 Pierce St , Pacoima CA 91331-1701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Church, Jody L. can be contacted via phone (818) 897-2193.

Contact Information

Primary practice address
12540 Pierce St Pacoima CA 91331-1701
Phone: (818) 897-2193
Fax: (818) 899-3864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 171 California

Profile Details

NPI number 1558362376
LBN Legal business name Church, Jody L.
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jul 8th, 2007 - about 18 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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