JODI LYNNE PETTYGROVE


Address: 115 Havelock Cir, Warner Robins, GA 31088
Phone: 4783347958

JODI LYNNE PETTYGROVE (NPI# 1033779657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033779657
Entity Type Individual
Full Name JODI LYNNE PETTYGROVE
Credential FNP
Practice Address 115 Havelock Cir
Warner Robins
GA 31088
Mailing Address Po Box 464
Walworth
WI 53184-0464
Practice Telephone 4783347958
Mailing Telephone 9188009066
Enumeration Date 2019-06-17
Last Update Date 2019-06-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN263633 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 115 HAVELOCK CIR
City WARNER ROBINS
State GA
Zip Code 31088

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982218921 Sarah Newman Pharmacist 1081 Ga-96, Warner Robins, GA 31088 2020-09-08
1619599115 Alana Jane Sibley Registered Nurse 940 Ga - 96, Warner Robins, GA 31088 2020-05-07
1164994901 Gwendolyn Jordan Taylor Registered Nurse 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 2018-12-18
1447721543 Amy Tanner Behavioral Analyst 200 Cresview Church Rd #1806, Warner Robins, GA 31088 2018-12-16
1518435676 Phoenix Health Center Case Management 940 Ga-96, Warner Robins, GA 31088 2018-11-07
1427534320 Jared Dean Johnson Social Worker 146 Lakepointe Drive, Warner Robins, GA 31088 2018-07-13
1285124180 Cmp Academy & Billing Service Contractor 105 S Commercial Circle, Warner Robins, GA 31088 2018-05-16
1730692377 Benzer Pharmacy Pharmacy 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 2017-11-06
1821507476 Timothy Doyle Thomas Registered Nurse 940-c Hwy 96, Warner Robins, GA 31088 2017-09-27
1033628102 Paula W Smith Licensed Practical Nurse 940c Highway 96, Warner Robins, GA 31088 2017-09-21
Find all providers in zip 31088

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427657584 Lindsey Marie Odessa Nurse Practitioner 623 S Houston Lake Rd Ste 200, Warner Robins, GA 31088-9094 2020-10-20
1598372401 Cristy Lynn Palmer Nurse Practitioner 105 Tommy Stalnaker Dr Ste 1, Warner Robins, GA 31088-8035 2020-09-24
1396354619 Vonteena Gizelle Cutter Nurse Practitioner 237 Smithville Church Rd Ste 100, Warner Robins, GA 31088-7803 2020-07-23
1164066106 Jenna Rubin Franz Nurse Practitioner 109 Lake Front Dr, Warner Robins, GA 31088-6017 2019-11-02
1114484201 Yolanda Renee Strong Nurse Practitioner 2006 Karl Dr Apt 202, Warner Robins, GA 31088-9405 2019-02-25
1275045528 Felicia Graddick Nurse Practitioner 108 Bald Eagle Trl, Warner Robins, GA 31093-1190 2017-10-26
1043620966 Advanced Wellness Care P.C. Nurse Practitioner 108 Byrd Way, Suite 100, Warner Robins, GA 31088 2014-04-30
1649460080 Tara Patricia Davis Nurse Practitioner 1000 Corporate Pointe Ste 120, Warner Robins, GA 31088-3440 2007-08-01
1588797195 Gail Lanterman Heaberg Nurse Practitioner 105 Scarlett Dr, Warner Robins, GA 31088-2517 2007-03-13
1174682892 Linda Peterson Hamsley Nurse Practitioner 342 Corder Rd Ste B, Warner Robins, GA 31088-3640 2006-12-08
Find all providers in WARNER ROBINS

Competitor

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City WARNER ROBINS
Zip Code 31088

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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