Individual
MISS JODIE MAXINE LEGACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
528 WASHINGTON HWY, MORRISVILLE, VT 05661-8973
(802) 888-8888
Mailing address
637 FITZGERALD RD, MORRISTOWN, VT 05661-8911
(802) 272-2649
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
026.0034921
VT
363LF0000X
Family Nurse Practitioner
Primary
101.0136107
VT
Other
Enumeration date
11/07/2022
Last updated
09/04/2025
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