| NPI | 1346724713 |
|---|---|
| Former Name | JODY L TIMMINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A093648) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A093648) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IA A093648) | |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2024-01-03 |