Individual
JODI L STROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
916 W 7TH ST, AUBURN, IN 46706-2013
(260) 927-0400
(260) 927-0440
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003704A
IN
363LF0000X
Family Nurse Practitioner
28129322A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201079730
—
IN
Enumeration date
08/07/2011
Last updated
10/20/2022
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