Individual
JODIE WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(843) 248-4700
Mailing address
6524 PINE FOREST DR, YORK, SC 29745-8393
(803) 981-4643
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19206
SC
363LF0000X
Family Nurse Practitioner
19206
SC
Other
Enumeration date
02/17/2015
Last updated
06/19/2019
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