Erickson, Jody Ann

Erickson, Jody Ann is an individual health care provider with primary practice located at 16985 W Bluemound Rd , Brookfield WI 53005-5909. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Erickson, Jody Ann can be contacted via phone (262) 641-8400.

Contact Information

Primary practice address
16985 W Bluemound Rd Brookfield WI 53005-5909
Phone: (262) 641-8400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 172706-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5818 Wisconsin

Profile Details

NPI number 1659783314
LBN Legal business name Erickson, Jody Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2014
Last updated Oct 4th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659783314 NPPES
Wisconsin MEDICAID 100038512

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