Provider Demographics
NPI:1245041631
Name:WHITTEN, JODI LINN
Entity type:Individual
Prefix:
First Name:JODI
Middle Name:LINN
Last Name:WHITTEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 NORD ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-6853
Mailing Address - Country:US
Mailing Address - Phone:402-305-5607
Mailing Address - Fax:
Practice Address - Street 1:803 NORD ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-6853
Practice Address - Country:US
Practice Address - Phone:402-305-5607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker