Individual provider · Type 1 NPI

Jody A. Stark, NP

Family Nurse Practitioner · Ontario, OR

NPI number 1851472989 Active

Practice location

932 W Idaho Ave, Suite 100
Ontario, OR 97914-2155

Call (541) 889-2244 Map

Fax (541) 889-2626

Mailing address

PO Box J
Ontario, OR 97914-0020

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X200550081NP (OR)
Family Nurse Practitioner Primary 363LF0000X079043254N1 (OR)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1851472989

Jody A. Stark, NP's National Provider Identifier is 1851472989, issued on Oct 17, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ontario, OR. The record was last updated on Oct 19, 2022.