Individual provider · Type 1 NPI
Jeanne Bodner, NP
Primary Care Nurse Practitioner · Roanoke, VA
NPI number
1487041539
Active
Practice location
101 Elm Ave SE
Roanoke, VA 24013-2222
Mailing address
210 Drake Lndg
New Bern, NC 28560-8416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | NPAG0115122 (NC) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1487041539
Jeanne Bodner, NP's National Provider Identifier is 1487041539, issued on Apr 15, 2015. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Roanoke, VA. The record was last updated on Sep 7, 2021.