MRS. JODI SPACE, APNP

Nurse Practitioner - Psychiatric/Mental Health

Active Individual
NPI: 1518217280

Practice Address

5416 EVERYBODYS RD
Crandon, WI 54520

Phone: (715) 478-4890

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X No 5012 (WI)
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X Yes 5012-33 (WI)

Frequently Asked Questions

NPI 1518217280 is the National Provider Identifier for MRS. JODI SPACE, APNP, a Nurse Practitioner - Psychiatric/Mental Health provider located in Crandon, WI. This NPI was enumerated on September 10, 2012.
MRS. JODI SPACE, APNP practices at 5416 EVERYBODYS RD, Crandon, WI 54520.

Quick Facts

NPI
1518217280
Type
Individual
Enumerated
Sep 10, 2012
Last Updated
Jan 19, 2022

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