Individual
STACEY L JODICE
Active
Individual
STACEY L JODICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN2294699
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2294699
MA
Other
Enumeration date
08/12/2019
Last updated
06/30/2025
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