# JODI MCCONNELL

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

## Provider details

- **NPI number:** 1780182725
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | RN122137 | GA | Yes |

## Other

- **Enumeration date:** 01/24/2018
- **Last updated:** 01/24/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | RN122137 | ADVANCED PRACTICE-NP | GA |
