Individual
MRS. JODY B WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, IBCLC
Contact information
Practice address
908 BONNIE BLUE DR, OXFORD, MS 38655-6198
(662) 380-2147
Mailing address
908 BONNIE BLUE DR, OXFORD, MS 38655-6198
(662) 380-2147
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
MS
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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