Jenny L Bodnar, RN, MSN, FNP-C
Nurse Practitioner, Family in Hudson, OH. Individual provider (NPI-1).
NPI number1972054849
StatusActive
Last updated in NPPESOct 17, 2016
Details
- NPI
- 1972054849
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jenny L Bodnar
- Credential
- RN, MSN, FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2016
- Last updated
- Oct 17, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F06162511 | OH | Yes |
Practice location
5398 Duffield DrHudson, OH 44236-4159
Phone 330-980-6629
Mailing address
5398 Duffield DrHudson, OH 44236-4159
Phone 330-980-6629
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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