Provider Demographics
NPI:1982572459
Name:SLEED, JODIE (RN)
Entity type:Individual
Prefix:
First Name:JODIE
Middle Name:
Last Name:SLEED
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 YERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:NY
Mailing Address - Zip Code:12498-1449
Mailing Address - Country:US
Mailing Address - Phone:845-853-3212
Mailing Address - Fax:
Practice Address - Street 1:230 MILLBROOK AVENUE
Practice Address - Street 2:
Practice Address - City:HURLEY
Practice Address - State:NY
Practice Address - Zip Code:12443
Practice Address - Country:US
Practice Address - Phone:845-943-3486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY465651-01163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool