Jessica D Bode
Nurse Practitioner - Women's Health
1130 Medical Arts Blvd Ste 250
Anderson
, Indiana 46011-3431
Jessica D Bode
Nurse Practitioner - Women's Health
1130 Medical Arts Blvd Ste 250
Anderson
, Indiana 46011-3431
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Jessica D Bode
- 6626 E 75th St Ste 500
- Indianapolis, IN
- Zip : 46250-2890
- Phone :
Second Address
- Jessica D Bode
- 1130 Medical Arts Blvd Ste 250
- Anderson, IN
- Zip : 46011-3431
- Fax : (765) 298-4989
- Phone : (765) 298-4282
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 28150756A | IN |
National Provider Identifier
| NPI | 1053958546 |
|---|---|
| Provider Name | Jessica D Bode |
| First Address | Indianapolis, IN 46250-2890 |
| Second Address | Anderson, IN 46011-3431 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/12/2019 |
| Last Update Date | 14/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 300035751 | (05) | IN |
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.