Individual provider · Type 1 NPI
Teresa Lynne Jodway, CPNP
Pediatric Nurse Practitioner · Granger, IN
NPI number
1780758474
Active
Practice location
209 Florence Ave
Granger, IN 46530-8048
Fax (574) 246-4000
Mailing address
11983 Jefferson Blvd
Mishawaka, IN 46545-7817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 71000447A (IN) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 71000447A (IN) |
Pediatric Nurse Practitioner: Definition to come...
4 other providers at this address
- David Alexander Campbell, MD, F.A.C.S.Otolaryngology Physician Granger, IN NPI 1750456026
- Jennifer Ann Madlem, FNP, MSN, RNFamily Nurse Practitioner Granger, IN NPI 1750455473
- Michelle MillerAudiologist Granger, IN NPI 1871256164
- Sue Ann Anderson, MS, APRN, BC, FNPFamily Nurse Practitioner Granger, IN NPI 1265507750
About NPI 1780758474
Teresa Lynne Jodway, CPNP's National Provider Identifier is 1780758474, issued on Nov 17, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Granger, IN. The record was last updated on Apr 8, 2015.