Individual provider · Type 1 NPI

Jodi R. Lutz, NP

Nurse Practitioner · Alton, IL

NPI number 1063996130 Active

Practice location

1650 Washington Ave
Alton, IL 62002-3931

Mailing address

PO Box 955534
St. Louis, MO 63195-5534

Other practice locations

  • 2133 Vadalabene Dr, Maryville, IL 62062-5839 · (618) 288-2470

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X2018006031 (MO)
Nurse Practitioner Primary 363L00000X209017496 (IL)
Family Nurse Practitioner 363LF0000X209017496 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

9 other providers at this address

Other nurse practitioner providers in Alton

See all in Alton →

About NPI 1063996130

Jodi R. Lutz, NP's National Provider Identifier is 1063996130, issued on Sep 24, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Alton, IL. The record was last updated on Oct 23, 2020.