National Provider Identifier Database

JERILYN R BODEY, FNP-C – NPI #1932670866
Family


Contact Information

JERILYN R BODEY, FNP-C
415 6TH ST
LEWISTON, ID83501
Phone: 512-730-3056
Fax: 888-730-1925
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for JERILYN R BODEY

NPI Number 1932670866
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 12/17/2018
Last updated 02/19/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • ID License #: 60187
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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