Individual provider · Type 1 NPI
Kasey Terese Jodway, RN
Acute Care Nurse Practitioner · Detroit, MI
NPI number
1508680729
Active
Practice location
2799 W Grand Blvd
Detroit, MI 48202-2689
Mailing address
19093 Parkwood Ln
Brownstown Township, MI 48183-6805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 4704359871 (MI) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 4704359871 (MI) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1508680729
Kasey Terese Jodway, RN's National Provider Identifier is 1508680729, issued on Nov 13, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Detroit, MI. The record was last updated on Oct 27, 2025.