Individual
JODY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1444 S POTOMAC ST STE 200, AURORA, CO 80012-4509
(303) 226-4650
Mailing address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-1600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28144376A
IN
363LF0000X
Family Nurse Practitioner
Primary
993239
CO
Other
Enumeration date
12/08/2011
Last updated
02/10/2022
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