Individual
JODI RAE MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4524 W WENDOVER AVE STE 110, GREENSBORO, NC 27409-9184
(336) 890-4350
Mailing address
4700 POINT FOSDICK DR STE 102, GIG HARBOR, WA 98335-1706
(253) 853-2050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5016567
NC
363L00000X
Nurse Practitioner
ARNP9252525
FL
363LF0000X
Family Nurse Practitioner
Primary
5016567
NC
363LF0000X
Family Nurse Practitioner
AP60638145
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2058528
—
WA
Enumeration date
10/18/2013
Last updated
10/06/2023
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