Individual provider · NPI-1

Jodi Bloxham, ARNP

Nurse Practitioner, Pediatrics · Iowa City, IA

NPI number1790737880
StatusActive
Last updated in NPPESAug 21, 2017

Details

NPI
1790737880
Entity type
Individual (NPI-1)
Name
Jodi Bloxham
Credential
ARNP
Sex
Female
Sole proprietor
No
Enumeration date
May 17, 2006
Last updated
Aug 21, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsC086972IAYes
363LF0000X Nurse Practitioner, FamilyC086972IA

Other names

  • Jodi Becker (Former Name)

Practice location

200 Hawkins Dr
Iowa City, IA 52242-1009

Phone 319-356-2296 · Fax 319-356-4855

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009

Phone 319-356-2296 · Fax 319-356-4855

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