Delagrave, Jodi Corinne
Delagrave, Jodi Corinne is an individual health care provider with primary practice located at 1130 W Sunset Dr , Waukesha WI 53189-8422. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Delagrave, Jodi Corinne can be contacted via phone (800) 389-2727.Contact Information
Primary practice address
1130 W Sunset Dr
Waukesha WI 53189-8422
Phone: (800) 389-2727
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1271 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4470 | Minnesota |
Profile Details
| NPI number | 1811998545 |
|---|---|
| LBN Legal business name | Delagrave, Jodi Corinne |
| Credentials | APNP, DNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Jan 12th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811998545 | NPPES |
| Wisconsin | Other | 61106 | DEAN HEALTH SYSTEMS |
| Wisconsin | Other | 528513 | DEAN HEALTH SYSTEMS |
| Wisconsin | Other | 528514 | DEAN HEALTH SYSTEMS |
| Wisconsin | MEDICAID | 43878800 | DEAN HEALTH SYSTEMS |
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