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

Individual provider Family Nurse Practitioner · NPI 1063162287

Jodi Nicole Bodenhamer, APRN is a Nurse Practitioner in Mountain Home, Arkansas. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Arkansas.

Years since qualifying
5
Licensed in
AR
In the registry since
2022
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

622 Broadmoor Dr
Mountain Home, AR 72653-2903
Phone: (870) 508-1765
Fax: (870) 508-1679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NA (AR)

Record details

NPI number1063162287
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedMarch 29, 2022
Last updated in NPPESMarch 29, 2022
Certification dateMarch 28, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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