Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jodi Iacco

Individual provider Surgical Physician Assistant · NPI 1801162532

Jodi Iacco is a Surgical Physician Assistant in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012

Practice location Address checks out

22201 Moross Rd Professional Bldg 1 Ste 132
Detroit, MI 48236-2169
Phone: (313) 343-3360
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5601006048 (MI)

Record details

NPI number1801162532
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2012
Last updated in NPPESMarch 27, 2012

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