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Jodie K Timberlake
Military Health Care Provider in Wright Patterson Afb, Ohio
NPI 1619219789

Jodie K Timberlake is a Military Health Care Provider based in Wright Patterson Afb, OH. Jodie K Timberlake practices in Wright Patterson Afb, OH. The NPI Number for Jodie K Timberlake is 1619219789 and holds a License No. (Ohio).

The current practice location address for Jodie K Timberlake is 2325 5Th St Bldg 675, Wright Patterson Afb, OH and can be reached out via phone at 937-257-0837.

Location: 2325 5Th St Bldg 675, Wright Patterson Afb, OH, 45433-7951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619219789
Provider Name
Jodie K Timberlake
Credential
Provider Entity Type
Individual
Gender
Female
Address
2325 5Th St Bldg 675, Wright Patterson Afb, OH, 45433-7951
Phone Number
937-257-0837
Fax Number
Provider Enumeration Date
03/26/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2325 5Th St Bldg 675
City
Wright Patterson Afb
State
Ohio
Zip
45433-7505
Phone Number
937-257-0837
Fax Number
person
Provider Business Mailing Address Details
Address
2325 5Th St Bldg 675
City
Wright Patterson Afb
State
Ohio
Zip
45433-7505
Phone Number
937-257-0837
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
0101257066 (Virginia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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