Individual
MRS. JODIE BEMBRY WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
186 MEDICAL PARK LOOP, SUITE 503, SYLVA, NC 28779-5222
(828) 586-7994
(828) 586-7940
Mailing address
186 MEDICAL PARK LOOP, STE 503, SYLVA, NC 28779-5275
(828) 586-7994
(828) 586-7340
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201010
NC
Other
Enumeration date
10/03/2006
Last updated
09/05/2012
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