Lee, Jodie Rae

Lee, Jodie Rae is an individual health care provider with primary practice located at 1200 Pleasant St , Des Moines IA 50309-1406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Lee, Jodie Rae can be contacted via phone (515) 241-6611.

Contact Information

Primary practice address
1200 Pleasant St Des Moines IA 50309-1406
Phone: (515) 241-6611
Fax: (515) 241-6635
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X C-108517 Iowa

Profile Details

NPI number 1558696104
LBN Legal business name Lee, Jodie Rae
Credentials MSN,ARNP,CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2009
Last updated Feb 24th, 2017 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558696104 NPPES
Other 175150080 MEDICARE
MEDICAID 1558696104 MEDICARE

Popular Providers