Jett, Jodi N

Jett, Jodi N is an individual health care provider with primary practice located at 421 N Rodeo Dr Penthouse 1, Beverly Hills CA 90210-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Jett, Jodi N can be contacted via phone (310) 432-6640.

Contact Information

Primary practice address
421 N Rodeo Dr Penthouse 1 Beverly Hills CA 90210-4500
Phone: (310) 432-6640
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 007716 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 22580 California

Profile Details

NPI number 1528143393
LBN Legal business name Jett, Jodi N
Credentials RPA C, MPAS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated May 23rd, 2014 - about 12 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 1528143393 NPPES
New York MEDICAID 00695941

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