Herron, Jody Brooke
Herron, Jody Brooke is an individual health care provider with primary practice located at 3150 N Winding Brook Rd , Flagstaff AZ 86001-0972. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Herron, Jody Brooke can be contacted via phone (928) 774-7106.Contact Information
Primary practice address
3150 N Winding Brook Rd
Flagstaff AZ 86001-0972
Phone: (928) 774-7106
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1811538507 |
|---|---|
| LBN Legal business name | Herron, Jody Brooke |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2019 |
| Last updated | Oct 3rd, 2019 - about 7 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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