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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JODI GOTTARDI

Active

Physician Assistant · GLEN DALE, WV

Registration Details

NPI Number
1124429196
Provider Type
Individual
Gender
Female
NPI Issued
Sep 10, 2014 (11.612440480147 yrs)
Last Updated
Mar 20, 2023
Licenses
50-004078 (OH)
2036 (WV)

Practice Information

Address
800 WHEELING AVE
GLEN DALE, WV, 260381660
Browse WV providers · Browse ZIP 26038
Phone
3048453211
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in GLEN DALE, WV

Name Credential NPI
MRS. RENEE M RENNICK PA-C 1760530521
CHELSEY K PALMER PA-C 1902134901
KRISTEN ASHLEE HARRIS 1467900548
MRS. KIMBERLY LYNN ARENSBERG PA-C 1366938482
ZACHARY C FAIRBANKS PA-C 1841840840
ERICA MARIE FITZSIMMONS PA-C 1902443658
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.