Provider Demographics
NPI:1538614888
Name:LEVINS, JODI (ARNP-C)
Entity type:Individual
Prefix:
First Name:JODI
Middle Name:
Last Name:LEVINS
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:737 WATERBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880-1726
Mailing Address - Country:US
Mailing Address - Phone:863-412-1254
Mailing Address - Fax:863-297-8069
Practice Address - Street 1:737 WATERBRIDGE DR
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-1726
Practice Address - Country:US
Practice Address - Phone:863-412-1254
Practice Address - Fax:863-297-8069
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-16
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9258228363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology