Dr. Jodi Lynne Van Jura
Family Doctor - Adult Medicine
4000 Miamisburg Centerville Rd Suite 410
Miamisburg
, Ohio 45342-7615
Dr. Jodi Lynne Van Jura
Family Doctor - Adult Medicine
4000 Miamisburg Centerville Rd Suite 410
Miamisburg
, Ohio 45342-7615
(937) 384-0794
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Jodi Lynne Van Jura
- 4000 Miamisburg Centerville Rd Ste 410
- Miamisburg, OH
- Zip : 45342-3758
- Fax : (937) 384-0794
- Phone : (937) 384-8773
Second Address
- Dr. Jodi Lynne Van Jura
- 4000 Miamisburg Centerville Rd Suite 410
- Miamisburg, OH
- Zip : 45342-7615
- Fax : (937) 384-0794
- Phone : (937) 384-8773
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 35079730 | OH |
National Provider Identifier
| NPI | 1023122157 |
|---|---|
| Provider Name | Dr. Jodi Lynne Van Jura |
| First Address | Miamisburg, OH 45342-3758 |
| Second Address | Miamisburg, OH 45342-7615 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/08/2006 |
| Last Update Date | 17/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2350950 | (05) | OH |
| H67651 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.