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

Miss. Jodie Statham

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174975502

Miss. Jodie Statham is a Student in an Organized Health Care Education/Training Program in Fremont, California. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

39465 Paseo Padre Pkwy Ste 2100
Fremont, CA 94538-5350
Phone: (510) 745-9151
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1174975502
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 9, 2016
Last updated in NPPESJuly 9, 2016

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