Perez, Jody Lynn

Perez, Jody Lynn is an individual health care provider with primary practice located at 1900 E Bay Dr , Largo FL 33771-2218. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Perez, Jody Lynn can be contacted via phone (727) 216-1420.

Contact Information

Primary practice address
1900 E Bay Dr Largo FL 33771-2218
Phone: (727) 216-1420
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 09000067A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN9454839 Florida

Profile Details

NPI number 1063493021
LBN Legal business name Perez, Jody Lynn
Credentials APRN, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Nov 6th, 2022 - about 4 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 1063493021 NPPES
Indiana Other 266180934 MEDICARE
Indiana MEDICAID 200191180 MEDICARE

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