Individual
JODI BLOXHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2296
(319) 356-4855
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2296
(319) 356-4855
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
C086972
IA
363LP0200X
Pediatric Nurse Practitioner
Primary
C086972
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70342
WELLMARK BCBS
IA
Enumeration date
05/17/2006
Last updated
08/21/2017
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