Individual
JODI M DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1139 36TH AVE NW, SUITE 100, NORMAN, OK 73072-4103
(405) 217-9997
(405) 307-8520
Mailing address
18100 PROVIDENCE AVE, EDMOND, OK 73003-4142
(405) 340-3971
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R0053999
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200100030A
—
OK
Enumeration date
11/09/2006
Last updated
05/13/2009
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