MRS. JODI LEE SACKS RN ANP NPI 1558565903

NPI Information

  • NPI: 1558565903
  • Provider Name: MRS. JODI LEE SACKS, RN ANP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 4241 WOODCOCK DR
    SUITE A-100
    SAN ANTONIO, TX
    ZIP 78228
  • Phone: (210) 785-5255

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NPI Details

MRS. Jodi Lee Sacks, RN ANP is an adult health nurse practitioner in San Antonio, TX. MRS. Jodi Lee Sacks, RN ANP NPI is 1558565903. 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:

4241 WOODCOCK DR
SUITE A-100
SAN ANTONIO, TX
ZIP 78228-328
Phone: (210) 785-5255
Fax: (210) 785-5389

The enumeration date for this NPI number is 6/11/2007 and was last updated on 10/5/2010.

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
1363LA2200XNurse PractitionerAdult Health722046TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18F20594MEDICARE PINTEXAS

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: 11/21/2025

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