Padgett, Jodi K.
Padgett, Jodi K. is an sole proprietor health care provider with primary practice located at 622 W Maple St Ste B , Farmington NM 87401-6589. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Padgett, Jodi K. can be contacted via phone (505) 327-4867.Contact Information
Primary practice address
622 W Maple St Ste B
Farmington NM 87401-6589
Phone: (505) 327-4867
Fax: (505) 327-5355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R55878 | New Mexico |
Profile Details
| NPI number | 1588786537 |
|---|---|
| LBN Legal business name | Padgett, Jodi K. |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Oct 22nd, 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 | 1588786537 | NPPES |
| New Mexico | MEDICAID | 84487259 |
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