Spain, Jody Beth

Spain, Jody Beth is an individual health care provider with primary practice located at 2210 Barron Rd Ste 211 , Poplar Bluff MO 63901-1908. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Spain, Jody Beth can be contacted via phone (573) 727-9996.

Contact Information

Primary practice address
2210 Barron Rd Ste 211 Poplar Bluff MO 63901-1908
Phone: (573) 727-9996
Fax: (573) 727-9918
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 2010028801 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2010028801 Missouri

Profile Details

NPI number 1427364744
LBN Legal business name Spain, Jody Beth
Credentials APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2010
Last updated Dec 19th, 2011 - about 13 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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