Provider Demographics
NPI:1710873062
Name:SETTERLUND, JODIE
Entity type:Individual
Prefix:
First Name:JODIE
Middle Name:
Last Name:SETTERLUND
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 1:13129 S 254TH EAST AVE
Mailing Address - Street 2:
Mailing Address - City:COWETA
Mailing Address - State:OK
Mailing Address - Zip Code:74429-6718
Mailing Address - Country:US
Mailing Address - Phone:209-251-3148
Mailing Address - Fax:
Practice Address - Street 1:13129 S 254TH EAST AVE
Practice Address - Street 2:
Practice Address - City:COWETA
Practice Address - State:OK
Practice Address - Zip Code:74429-6718
Practice Address - Country:US
Practice Address - Phone:209-251-3148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-14
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator