Individual provider · Type 1 NPI
Jodie K. Timberlake
Military Health Care Provider · Wright Patterson Afb, OH
NPI number
1619219789
Active
Practice location
2325 5th St Bldg 675
Wright Patterson Afb, OH 45433-7505
Mailing address
2510 5th St Bldg 840
Wright Patterson Afb, OH 45433-7951
Other practice locations
- 2200 Bergquist Dr, Willford Hall Ambulatory Surgical Center, Lackland A F B, TX 78236-9907 · (210) 292-5077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Military Health Care Provider Primary | 171000000X | 0101257066 (VA) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
2 other providers at this address
Other military health care provider providers in Wright Patterson Afb
About NPI 1619219789
Jodie K. Timberlake's National Provider Identifier is 1619219789, issued on Mar 26, 2013. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Wright Patterson Afb, OH. The record was last updated on Feb 28, 2022.