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

JODI RAPPA, CST, RST

Active

JODI RAPPA, CST, RST is a Surgical Physician Assistant healthcare provider located in NORMAL, Illinois. NPI 1194150466 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · NORMAL, IL

Registration Details

NPI Number
1194150466
Provider Type
Individual
Gender
Female
NPI Issued
Sep 5, 2013 (12.900244334199 yrs)
Last Updated
Oct 4, 2018
Licenses
237.000.132 (IL)
238000537 (IL)

Practice Information

Address
1604 VISA DR
STE. 2
NORMAL, IL, 617612195
Browse IL providers · Browse ZIP 61761
Phone
3098464716
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in NORMAL, IL

Name Credential NPI
EMILY WOLF CST 1285871764
JESSICA HENDRIX PA-C 1386017853
ERIN M CARMEAN PA-C 1487166690
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.