Individual
MS. JODIE RENEE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1041 N 7TH ST, VINCENNES, IN 47591-2268
(812) 882-6069
(812) 886-5307
Mailing address
921 PERRY ST, VINCENNES, IN 47591-3024
(812) 881-5060
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27039817A
IN
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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