Waller, Jodi
Waller, Jodi is an individual health care provider with primary practice located at 300 Rawls Dr Ste 1500 , Mccomb MS 39648-2878. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Waller, Jodi can be contacted via phone (855) 615-7246.Contact Information
Primary practice address
300 Rawls Dr Ste 1500
Mccomb MS 39648-2878
Phone: (855) 615-7246
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R883312 | Mississippi |
Profile Details
| NPI number | 1811303670 |
|---|---|
| LBN Legal business name | Waller, Jodi |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2014 |
| Last updated | Jul 1st, 2014 - about 11 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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