Individual
JODY L HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
190 N UNION ST, 104, AKRON, OH 44304-1369
(330) 253-9145
(330) 253-6222
Mailing address
190 N UNION ST, 104, AKRON, OH 44304-1369
(330) 253-9145
(330) 253-6222
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN258230
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2080224
UHC GROUP NUMBER
OH
01
—
7091249
GROUP MEDICAID NUMBER
OH
01
—
8000281
MEDICARE GRP CRNA NUMBER
OH
01
—
CN1092
RR MEDICARE GRP NUMBER
OH
Enumeration date
02/01/2008
Last updated
02/01/2008
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