person
Jody Joseph, FNP
Family Nurse Practitioner in Plymouth, Indiana
NPI 1861663510

Jody Joseph is a Family Nurse Practitioner based in South Bend, IN and is specialized in Family. Jody Joseph practices in Plymouth, IN and has the professional credentials of FNP. The NPI Number for Jody Joseph is 1861663510 and holds a License No. 71002470A (Indiana).

The current practice location address for Jody Joseph is 2349 Lake Ave Ste 100, Plymouth, IN and can be reached out via phone at 574-472-6700 and via fax at 574-941-3112.

Location: 2349 Lake Ave Ste 100, Plymouth, IN, 46660-6309
person
Provider Profile Details
NPI Number
1861663510
Provider Name
Jody Joseph
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2349 Lake Ave Ste 100, Plymouth, IN, 46660-6309
Phone Number
574-472-6700
Fax Number
574-941-3112
Provider Enumeration Date
03/20/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000726441 01 BCBS
200893890 05 IN
000000726441 01 IN BCBS
000000562397 01 IN ANTHEM, BCBS
institution
Provider Business Practice Location Address Details
Address
2349 Lake Ave Ste 100
City
State
Zip
46563-7836
Phone Number
574-472-6700
Fax Number
574-941-3112
person
Provider Business Mailing Address Details
Address
2349 Lake Ave Ste 100
City
State
Zip
46563-7836
Phone Number
574-472-6700
Fax Number
574-941-3112
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71002470A (Indiana)
Definition
Definition to come...
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