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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770770331 | NPPES |
Michigan | Other | 4704271240 | LICENSE |
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