Provider Demographics
NPI:1003051095
Name:WEINSTEIN, JODI KAREN (ARNP, CS, PHD)
Entity Type:Individual
Prefix:DR
First Name:JODI
Middle Name:KAREN
Last Name:WEINSTEIN
Suffix:
Gender:F
Credentials:ARNP, CS, PHD
Other - Prefix:
Other - First Name:JODI
Other - Middle Name:KAREN
Other - Last Name:WEINSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7301 W. PALMETTO PARK
Mailing Address - Street 2:SUITE 203-A
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433
Mailing Address - Country:US
Mailing Address - Phone:561-391-2770
Mailing Address - Fax:561-391-2930
Practice Address - Street 1:4700 NW 2ND AVE STE 101102
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-4154
Practice Address - Country:US
Practice Address - Phone:561-563-6262
Practice Address - Fax:561-223-2974
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-05
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL023477102364SP0807X
FL1915142363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent