Provider Demographics
NPI:1598072977
Name:BRAUNSCHEIDEL, JODIE E (DC, APRN)
Entity Type:Individual
Prefix:MISS
First Name:JODIE
Middle Name:E
Last Name:BRAUNSCHEIDEL
Suffix:
Gender:F
Credentials:DC, APRN
Other - Prefix:
Other - First Name:JODIE
Other - Middle Name:
Other - Last Name:CULLEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:140 CHARLES AVE
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:OH
Mailing Address - Zip Code:44001-2076
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:24932 - C AURORA RD
Practice Address - Street 2:
Practice Address - City:BEDFORD HTS
Practice Address - State:OH
Practice Address - Zip Code:44146
Practice Address - Country:US
Practice Address - Phone:440-439-5385
Practice Address - Fax:440-439-9447
Is Sole Proprietor?:No
Enumeration Date:2010-09-08
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4085111N00000X
OH0033197363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0033197OtherOHIO BOARD OF NURSING