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Mrs. Jodi L Space, APNP
Psychiatric/Mental Health Nurse Practitioner in Crandon, Wisconsin
NPI 1518217280

Jodi L Space is a Psychiatric/Mental Health Nurse Practitioner based in Crandon, WI and is specialized in Psychiatric/Mental Health. Jodi L Space practices in Crandon, WI and has the professional credentials of APNP. The NPI Number for Jodi L Space is 1518217280 and holds a License No. 5012 (Wisconsin).

The current practice location address for Jodi L Space is 5416 Everybodys Rd, Crandon, WI and can be reached out via phone at 715-478-4890.

Location: 5416 Everybodys Rd, Crandon, WI, 54520-8627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518217280
Provider Name
Jodi L Space
Credential
APNP
Provider Entity Type
Individual
Gender
Female
Address
5416 Everybodys Rd, Crandon, WI, 54520-8627
Phone Number
715-478-4890
Fax Number
Provider Enumeration Date
09/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5416 Everybodys Rd
City
Crandon
State
Wisconsin
Zip
54520-8627
Phone Number
715-478-4890
Fax Number
person
Provider Business Mailing Address Details
Address
5416 Everybodys Rd
City
Crandon
State
Wisconsin
Zip
54520-8627
Phone Number
715-478-4890
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5012-33 (Wisconsin)
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
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
5012 (Wisconsin)
Definition
Definition to come...
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