Jodi Silva-Dutey
Nurse Practitioner, Family in Ceredo, WV. Individual provider (NPI-1).
NPI number1366084485
StatusActive
Last updated in NPPESApr 22, 2021
Details
- NPI
- 1366084485
- Entity type
- Individual (NPI-1)
- Name
- Jodi Silva-Dutey
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 9, 2019
- Certification date
- Mar 29, 2021
- Last updated
- Apr 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 104196 | WV | Yes |
| 363LF0000X | Nurse Practitioner, Family | APRN.CNP.024952 | OH |
Practice location
402 C StreetCeredo, WV 25507
Phone 304-908-1204 · Fax 304-908-1224
Mailing address
Po Box 4100Barboursville, WV 25504-4100
Phone 304-908-1204
Other practice locations
6681 Ridge Rd Ste 300
Parma, OH 44129-5705
Parma, OH 44129-5705
Phone 440-842-8675 · Fax 440-842-1299
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