Individual
JODI W. BOBBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN/FNP
Contact information
Practice address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 353-9403
(970) 353-9906
Mailing address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 353-9403
(970) 353-9906
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
10131
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84103264
—
CO
Enumeration date
09/08/2010
Last updated
12/21/2012
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