Colletto, Jody L

Colletto, Jody L is an individual health care provider with primary practice located at 450 S Kitsap Blvd , Port Orchard WA 98366-3773. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Colletto, Jody L can be contacted via phone (360) 744-6275.

Contact Information

Primary practice address
450 S Kitsap Blvd Port Orchard WA 98366-3773
Phone: (360) 744-6275
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30006898 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30006898 Washington

Profile Details

NPI number 1992920748
LBN Legal business name Colletto, Jody L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Dec 2nd, 2020 - about 4 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 1992920748 NPPES
Washington MEDICAID 1046520

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