Provider Demographics
NPI:1649408196
Name:JODOIN, NATASHA LYNNE (ARNP)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:LYNNE
Last Name:JODOIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3770 8TH ST SW STE B
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:IA
Mailing Address - Zip Code:50009-1048
Mailing Address - Country:US
Mailing Address - Phone:515-645-9905
Mailing Address - Fax:
Practice Address - Street 1:1200 UNIVERSITY AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314
Practice Address - Country:US
Practice Address - Phone:515-559-9609
Practice Address - Fax:515-558-9952
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAF108322363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health