Tedder, Joie Lynn
Tedder, Joie Lynn is an individual health care provider with primary practice located at 1225 Hancock Rd Bldg C, Ste 302, Bullhead City AZ 86442. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Tedder, Joie Lynn can be contacted via phone (928) 440-6995.Contact Information
Primary practice address
1225 Hancock Rd Bldg C, Ste 302
Bullhead City AZ 86442
Phone: (928) 440-6995
Fax: (928) 404-9175
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 235928 | Arizona |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 235928 | Arizona |
Profile Details
NPI number | 1699195438 |
---|---|
LBN Legal business name | Tedder, Joie Lynn |
Credentials | APRN,FNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 20th, 2014 |
Last updated | May 16th, 2024 - about 7 months 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 | 1699195438 | NPPES |
Kansas | MEDICAID | 201108380A | |
Kansas | MEDICAID | 003840 | |
Kansas | Other | MT3334303 |
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