Provider Demographics
NPI:1588205215
Name:KINDT, JODI WINDSOR (CRNP)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:WINDSOR
Last Name:KINDT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5543 BONNIE BROOK RD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-3437
Mailing Address - Country:US
Mailing Address - Phone:410-221-0904
Mailing Address - Fax:
Practice Address - Street 1:AAMG TALBOT PRIMARY CARE
Practice Address - Street 2:28438 MARLBORO AVENUE
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601
Practice Address - Country:US
Practice Address - Phone:410-822-2440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-03
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR146095363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health