Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 2010-00726 | NC |
N | 2084N0400X | Neurologist | 0101258632 | VA |
Y | 2084N0400X | Neurologist | 201000726 | NC |
NPI | 1023125515 |
---|---|
Provider Name | Jodi A Gehring |
First Address | Norfolk, VA 23510-1065 |
Second Address | Norfolk, VA 23510-1065 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 31/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5915975 | (05) | NC |
NC1437 | (05) | SC |