Individual provider · NPI-1
Katrina Marie Dodson
Nurse's Aide · Jonesboro, GA
NPI number1508406430
StatusActive
Last updated in NPPESJun 25, 2020
Details
- NPI
- 1508406430
- Entity type
- Individual (NPI-1)
- Name
- Katrina Marie Dodson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 8, 2020
- Certification date
- Jun 25, 2020
- Last updated
- Jun 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | 63357 | ND | Yes |
| 374U00000X | Home Health Aide | 63357 | ND | |
| 376J00000X | Homemaker | 63357 | ND | |
| 385H00000X | Respite Care | 63357 | ND |
Practice location
501 Battlecreek Village DrJonesboro, GA 30236-8515
Phone 404-637-7063
Mailing address
501 Battlecreek Village DrJonesboro, GA 30236-8515
Phone 404-637-7063
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