Individual
MRS. JODI LYNN BRODKORB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
560 S 900 E, MARION, IN 46953-9629
(765) 662-0624
Mailing address
1248 S VALHALLA ST, UPLAND, IN 46989-9002
(765) 744-4936
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
28157396A
IN
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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