Individual
JODI S CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1033 NORTH INDIANA AVENUE, SYRACUSE, IN 46567
(574) 457-5701
(574) 457-5609
Mailing address
PO BOX 158, SYRACUSE, IN 46567
(574) 457-5701
(574) 457-5609
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101266076
VA
207Q00000X
Family Medicine Physician
Primary
01050876
IN
207Q00000X
Family Medicine Physician
2019-00100
NC
207Q00000X
Family Medicine Physician
65197
MN
207Q00000X
Family Medicine Physician
MD16489
RI
207Q00000X
Family Medicine Physician
S0441
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200187460
—
IN
Enumeration date
08/30/2006
Last updated
10/21/2019
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