Individual
MS. JODIE LEE KNODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1125 ELLEN KAY DR STE D, MARION, OH 43302-6358
(844) 533-0315
Mailing address
10547 MONTGOMERY RD STE 700, MONTGOMERY, OH 45242-4418
(888) 830-0347
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
RN320561
OH
163WH0200X
Home Health Registered Nurse
RN320561
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0032558
OH
Other
Enumeration date
07/20/2009
Last updated
11/07/2023
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