JODIE K TIMBERLAKE NPI 1619219789

NPI Information

NPI: 1619219789
Provider Name: JODIE K TIMBERLAKE
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual
Address:
2325 5TH ST BLDG 675
WRIGHT PATTERSON AFB, OH
ZIP 45433
Phone: (937) 257-0837
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Jodie K Timberlake is a military health care provider in Wright Patterson Afb, OH. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Jodie K Timberlake NPI is 1619219789. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2325 5TH ST BLDG 675
WRIGHT PATTERSON AFB, OH
ZIP 45433-505
Phone: (937) 257-0837

The enumeration date for this NPI number is 3/26/2013 and was last updated on 2/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	171000000X	Military Health Care Provider		0101257066	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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