JERILYN R BODEY FNP-C NPI 1932670866

NPI Information

NPI: 1932670866
Provider Name: JERILYN R BODEY, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: KALISPELL REGIONAL MEDICAL CENTER INC

PECOS Registration: Yes

Address:
415 6TH ST
LEWISTON, ID
ZIP 83501
Phone: (512) 730-3056
Get Directions

Jerilyn R Bodey, FNP-C is a family nurse practitioner in Lewiston, ID with 6 years of experience. Jerilyn R Bodey, FNP-C NPI is 1932670866. 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:

415 6TH ST
LEWISTON, ID
ZIP 83501
Phone: (512) 730-3056
Fax: (888) 730-1925

The NPI 1932670866 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/17/2018 and was last updated on 2/28/2019.

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	363LF0000X	Nurse Practitioner	Family	60187	IDAHO	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: 11/14/2023

NPI Synchronization or Removal

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