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Individual
JODY LYNN PEREZ
Active
Individual
JODY LYNN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
09000067A
IN
367A00000X
Advanced Practice Midwife
Primary
APRN9454839
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200191180
—
IN
01
—
266180934
MEDICARE
IN
Enumeration date
11/08/2005
Last updated
11/06/2022
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