Jody Lynn Root in Bloomfield - Family

Jody Lynn Root - NPI 1881622900

Jody Lynn Root is a Family in Bloomfield, Indiana. Jody Lynn Root practices all healthcare services and medical treatments related to Family. The NPI Number for Jody Lynn Root is 1881622900. The last update date is 2015-06-22.

Jody Lynn Root's current location address is 10858 E State Road 54, Bloomfield, Indiana. You can contact this provider via phone number 8124000067 and fax number 8124000067. The mailing address for Jody Lynn Root is 10858 E State Road 54, Bloomfield, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jody Lynn Root
Address 10858 E State Road 54, Bloomfield, Indiana
Phone Number 8124000067
Fax Number 8124000067
Sole Proprietor N
Credentials FNP-BC

NPI Number Detail

NPI Number 1881622900
Provider Enumeration Date 2006-06-29
Last Updated Date 2015-06-22

Provider Mailing Address Detail

Address 10858 E State Road 54
City Bloomfield
State Indiana (IN)
Post Code 474246069
Phone Number 8124000067
Fax Number 8124000067

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 71002130A
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Jody Lynn Root

What is the unique 10-digit identifier code issued to Jody Lynn Root by the Centers for Medicare & Medicaid Services?

The Jody Lynn Root has been assigned the NPI (National Provider Identifier) 1881622900 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Jody Lynn Root is geographically located?

The Jody Lynn Root is physically situated at the following location: 10858 E State Road 54, Bloomfield, IN, 474246069.

What is Jody Lynn Root's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jody Lynn Root is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1881622900 to Jody Lynn Root?

The Jody Lynn Root received its 1881622900 assignment from the Centers for Medicare & Medicaid Services on 2006-06-29.

When was the information pertaining to Jody Lynn Root most recently updated or revised?

The details related to Jody Lynn Root, including its address, specialty, and other relevant information, were last updated or revised on 2015-06-22.

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