Provider Demographics
NPI:1174491385
Name:LOVERME, JODI L (NP)
Entity type:Individual
Prefix:
First Name:JODI
Middle Name:L
Last Name:LOVERME
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1504 S PLUM GROVE RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-4808
Mailing Address - Country:US
Mailing Address - Phone:224-201-9225
Mailing Address - Fax:
Practice Address - Street 1:811 W BROADWAY AVE UNIT A
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:WI
Practice Address - Zip Code:54451-1307
Practice Address - Country:US
Practice Address - Phone:715-748-5580
Practice Address - Fax:715-748-5582
Is Sole Proprietor?:No
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI17630-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily