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Jodi R Lutz, NP
Family Nurse Practitioner in Alton, Illinois
NPI 1063996130

Jodi R Lutz is a Family Nurse Practitioner based in Saint Louis, IL and is specialized in Family. Jodi R Lutz practices in Alton, IL and has the professional credentials of NP. The NPI Number for Jodi R Lutz is 1063996130 and holds a License No. 2018006031 (Illinois).

The current practice location address for Jodi R Lutz is 1650 Washington Ave, Alton, IL and can be reached out via phone at 314-687-2735.

Location: 1650 Washington Ave, Alton, IL, 63195-5534
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063996130
Provider Name
Jodi R Lutz
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1650 Washington Ave, Alton, IL, 63195-5534
Phone Number
314-687-2735
Fax Number
Provider Enumeration Date
09/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1650 Washington Ave
City
Alton
State
Illinois
Zip
62002-3931
Phone Number
314-687-2735
Fax Number
person
Provider Business Mailing Address Details
Address
1650 Washington Ave
City
Alton
State
Illinois
Zip
62002-3931
Phone Number
314-687-2735
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209017496 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2018006031 (Missouri)
Definition
Definition to come...
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