Trent, Jody M

Trent, Jody M is an individual health care provider with primary practice located at 1314 E 7Th St Ste 101 , Auburn IN 46706-2533. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Trent, Jody M can be contacted via phone (260) 925-3500.

Contact Information

Primary practice address
1314 E 7Th St Ste 101 Auburn IN 46706-2533
Phone: (260) 925-3500
Fax: (260) 925-3195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0050-03504 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71003591A Indiana

Profile Details

NPI number 1770770331
LBN Legal business name Trent, Jody M
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2007
Last updated Jun 4th, 2024 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770770331 NPPES
Michigan Other 4704271240 LICENSE

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