Winters, Jodi Lynn
Winters, Jodi Lynn is an sole proprietor health care provider with primary practice located at 3535 Southern Blvd , Kettering OH 45429-1221. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Winters, Jodi Lynn can be contacted via phone (937) 384-4838.Contact Information
Primary practice address
3535 Southern Blvd
Kettering OH 45429-1221
Phone: (937) 384-4838
Fax: (937) 384-4845
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | COA14234NP | Ohio |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | COA14234NP | Ohio |
Profile Details
NPI number | 1790023208 |
---|---|
LBN Legal business name | Winters, Jodi Lynn |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 18th, 2013 |
Last updated | Nov 13th, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790023208 | NPPES |
Ohio | Other | COA14234NP | OHIO LICENSE |
Ohio | MEDICAID | 0079554 | OHIO LICENSE |
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