MRS. Jodi L Space, APNP

NPI #1518217280 in Crandon, Wisconsin

Provider Information

NPI Number
1518217280
Entity Type
Individual
Name
MRS. Jodi L Space, APNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Credential
APNP
Enumeration Date
Sep 10, 2012
Last Updated
Jan 19, 2022

Practice Location

Address
5416 EVERYBODYS RD
ZIP Code
54520-8627
Phone
(715) 478-4890

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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