Roth, Jodie M

Roth, Jodie M is an individual health care provider with primary practice located at 1301 Barbara Jordan Blvd Ste 307 , Austin TX 78723-3080. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Roth, Jodie M can be contacted via phone (512) 324-0000.

Contact Information

Primary practice address
1301 Barbara Jordan Blvd Ste 307 Austin TX 78723-3080
Phone: (512) 324-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 740243 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 740243 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 740243 Texas

Profile Details

NPI number 1053433102
LBN Legal business name Roth, Jodie M
Credentials RN, MSN, CPNP-AC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Jul 11th, 2008 - about 18 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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