Individual
JODI DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
59 HADLEY MILL RD, JACKSON, ME 04921-3115
(207) 323-4270
Mailing address
59 HADLEY MILL RD, JACKSON, ME 04921-3115
(207) 323-4270
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN64186
ME
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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