| NPI | 1821671033 |
|---|---|
| Professional Name | JODI LYNN KIRK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT APRN-159024) |
| Additional Taxonomies | 171W00000X Contractor (Licence: MT APRN-159024) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MT APRN-159024) | |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-05-05 |