Provider Demographics
NPI:1033922943
Name:ALTAFFER, JODI ANN
Entity type:Individual
Prefix:
First Name:JODI
Middle Name:ANN
Last Name:ALTAFFER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:JODI A. ALTAFFER
Mailing Address - Street 2:209 HICKORY STREET
Mailing Address - City:MONTPELIER
Mailing Address - State:OH
Mailing Address - Zip Code:43543
Mailing Address - Country:US
Mailing Address - Phone:419-799-9406
Mailing Address - Fax:
Practice Address - Street 1:JODI A. ALTAFFER
Practice Address - Street 2:209 HICKORY STREET
Practice Address - City:MONTPELIER
Practice Address - State:OH
Practice Address - Zip Code:43543
Practice Address - Country:US
Practice Address - Phone:419-799-9406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3747P1801X3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant