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JODI NICOLE BODENHAMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
622 BROADMOOR DR, MOUNTAIN HOME, AR 72653-2903
(870) 508-1765
(870) 508-1679
Mailing address
622 BROADMOOR DR, MOUNTAIN HOME, AR 72653-2903
(870) 508-1765
(870) 508-1679

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NA
AR

Other

Enumeration date
03/29/2022
Last updated
03/29/2022
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