Mrs. Jodi L Space, APNP
Mrs. Jodi L Space, APNP is a Nurse Practitioner in Crandon, Wisconsin. Graduated from University of Missouri, Columbia School of Medicine in 2012, 14 years ago. Practices with Forest County Potawatomi Community, a 21-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 14
- Trained at
- University of Missouri, Columbia School of Medicine
- Licensed in
- WI
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
5416 Everybodys RdCrandon, WI 54520-8627
Phone: (715) 478-4890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 5012-33 (WI) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence 5012 (WI) |
Record details
| NPI number | 1518217280 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | APNP |
| Sole proprietor | No |
| NPI enumerated | September 10, 2012 |
| Last updated in NPPES | January 19, 2022 |
| Certification date | January 19, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduated | 2012 (14 years in practice) |
| Group practice | Forest County Potawatomi Community — 21 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Crandon
-
Mrs. Suzette Linda Katchko, APNP
3144 Vanzile Rd, Crandon, WI 54520-8149 · (715) 478-5180
-
Jacklin A Sailo, FNP
8201 Mish Ko Swen Dr, Crandon, WI 54520-8631 · (715) 478-4300