# JODI M STUBBS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1720193675
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2100X | Acute Care Nurse Practitioner | R734417 | MS | Yes |
| 363LF0000X | Family Nurse Practitioner | R734417 | MS | — |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 07/16/2007