| NPI | 1982213617 |
|---|---|
| Professional Name | JODI MARIE TICHENOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NE 114389) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KS 53-81263-042) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2022-09-20 |