Jody Wellwood is a Nurse Practitioner in Detroit, Michigan. Jody Wellwood practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jody Wellwood is 1093925398. The last update date is 2007-07-08.
Jody Wellwood's current location address is 2799 W Grand Blvd, Detroit, Michigan. You can contact this provider via phone number 3139161340 and fax number 3139167139. The mailing address for Jody Wellwood is 2799 W Grand Blvd, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jody Wellwood |
|---|---|
| Address | 2799 W Grand Blvd, Detroit, Michigan |
| Phone Number | 3139161340 |
| Fax Number | 3139167139 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1093925398 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2799 W Grand Blvd |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482022608 |
| Phone Number | 3139161340 |
| Fax Number | 3139167139 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 4704169894 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Post Comment/ Review Below
What is the unique identifier code issued to Jody Wellwood by the Centers for Medicare & Medicaid Services (CMS)?
The Jody Wellwood has been assigned the NPI (National Provider Identifier) 1093925398. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Jody Wellwood's physical address?
The Jody Wellwood is physically located at 2799 W Grand Blvd, in the city of Detroit, MI, with the postal code 482022608.
What is Jody Wellwood's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jody Wellwood's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date was the 1093925398 assigned to Jody Wellwood?
The Jody Wellwood was issued its 1093925398 on 2007-05-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jody Wellwood most recently updated or refreshed?
The details pertaining to the Jody Wellwood, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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