Individual
JODI LYNN WINTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3535 SOUTHERN BLVD STE 3000B, KETTERING, OH 45429-1221
(937) 531-0200
(937) 531-0198
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COA14234NP
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
COA14234NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079554
—
OH
01
—
COA14234NP
OHIO LICENSE
OH
Enumeration date
01/18/2013
Last updated
08/27/2024
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