Individual
MRS. JODY LYNN ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
10858 E STATE ROAD 54, SUITE #1, BLOOMFIELD, IN 47424-6069
(812) 400-0067
(812) 400-0067
Mailing address
10858 E STATE ROAD 54, SUITE #1, BLOOMFIELD, IN 47424-6069
(812) 400-0067
(812) 400-0067
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002130A
IN
Other
Enumeration date
06/29/2006
Last updated
06/22/2015
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