Individual
JODY LYN BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
31 S STANFIELD RD, STE 301, TROY, OH 45373-2374
(937) 339-1518
(937) 339-1538
Mailing address
31 S STANFIELD RD, STE 301, TROY, OH 45373-2374
(937) 339-1518
(937) 339-1538
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
15552-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099484
—
OH
Enumeration date
01/15/2014
Last updated
09/04/2014
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