Provider Demographics
NPI:1548511736
Name:KLIER, JODI JEANEEN (RN)
Entity type:Individual
Prefix:
First Name:JODI
Middle Name:JEANEEN
Last Name:KLIER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16302 ARENA DR
Mailing Address - Street 2:
Mailing Address - City:RAMONA
Mailing Address - State:CA
Mailing Address - Zip Code:92065-4104
Mailing Address - Country:US
Mailing Address - Phone:818-572-7815
Mailing Address - Fax:
Practice Address - Street 1:16302 ARENA DR
Practice Address - Street 2:
Practice Address - City:RAMONA
Practice Address - State:CA
Practice Address - Zip Code:92065-4104
Practice Address - Country:US
Practice Address - Phone:818-572-7815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA764116163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse