Provider Demographics
NPI:1003090986
Name:DIONNE, JODIE ANN (MD)
Entity Type:Individual
Prefix:
First Name:JODIE
Middle Name:ANN
Last Name:DIONNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 19TH STREET SOUTH ZEIGLER RESEARCH BUILDING 206
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35294-2050
Mailing Address - Country:US
Mailing Address - Phone:205-975-6530
Mailing Address - Fax:
Practice Address - Street 1:703 19TH ST S BLDG 206
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1926
Practice Address - Country:US
Practice Address - Phone:205-975-6530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH14492207RI0200X
AL32567207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1016706Medicaid
NH30208942Medicaid
NH30208942Medicaid