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Teresa Lynne Jodway, CPNP
Pediatric Nurse Practitioner in Granger, Indiana
NPI 1780758474

Teresa Lynne Jodway is a Pediatric Nurse Practitioner based in Mishawaka, IN and is specialized in Pediatrics. Teresa Lynne Jodway practices in Granger, IN and has the professional credentials of CPNP. The NPI Number for Teresa Lynne Jodway is 1780758474 and holds a License No. 71000447A (Indiana).

The current practice location address for Teresa Lynne Jodway is 209 Florence Ave, Granger, IN and can be reached out via phone at 574-246-1000 and via fax at 574-246-4000.

Location: 209 Florence Ave, Granger, IN, 46545-7817
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780758474
Provider Name
Teresa Lynne Jodway
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
209 Florence Ave, Granger, IN, 46545-7817
Phone Number
574-246-1000
Fax Number
574-246-4000
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
28103938A 01 IN RN LICENSE
200204520 05 IN
71000447A 01 IN NP LICENSE
institution
Provider Business Practice Location Address Details
Address
209 Florence Ave
City
Granger
State
Indiana
Zip
46530-8048
Phone Number
574-246-1000
Fax Number
574-246-4000
person
Provider Business Mailing Address Details
Address
209 Florence Ave
City
Granger
State
Indiana
Zip
46530-8048
Phone Number
574-246-1000
Fax Number
574-246-4000
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71000447A (Indiana)
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
Pediatrics
Taxonomy
363LP0200X
License No.
71000447A (Indiana)
Definition
Definition to come...
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