Waller, Jodi

Waller, Jodi is an individual health care provider with primary practice located at 300 Rawls Dr Ste 1500 , Mccomb MS 39648-2878. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Waller, Jodi can be contacted via phone (855) 615-7246.

Contact Information

Primary practice address
300 Rawls Dr Ste 1500 Mccomb MS 39648-2878
Phone: (855) 615-7246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R883312 Mississippi

Profile Details

NPI number 1811303670
LBN Legal business name Waller, Jodi
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2014
Last updated Jul 1st, 2014 - about 11 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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