Individual
MS. JODI L HYNDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-2937
(802) 773-2204
Mailing address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-2937
(802) 773-2204
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101.0089061
VT
363L00000X
Nurse Practitioner
SP008889
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101546336
—
PA
Enumeration date
07/25/2006
Last updated
09/15/2020
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