Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JODI L SPACE, APNP
ActiveMRS. JODI L SPACE, APNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in CRANDON, Wisconsin. NPI 1518217280 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · CRANDON, WI
Registration Details
- NPI Number
- 1518217280
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 10, 2012 (13.905153932936 yrs)
- Last Updated
- Jan 19, 2022
- Licenses
-
5012 (WI)5012-33 (WI)
Practice Information
- Address
-
5416 EVERYBODYS RDCRANDON, WI, 545208627Browse WI providers · Browse ZIP 54520
- Phone
- 7154784890
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in CRANDON, WI
| Name | Credential | NPI |
|---|---|---|
| ASHLEY SEILER | NP | 1992015580 |
| MELINDA M ROTH | PMHNP | 1154757045 |
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.