JODI LYNNE PETTYGROVE FNP
NPI 1033779657
Nurse Practitioner - Family in Warner Robins, GA

Q: What is Jodi Pettygrove's NPI number?

The NPI number for Jodi Pettygrove is 1033779657. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Q: What is Jodi Pettygrove's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jodi Pettygrove was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 17, 2019

115 HAVELOCK CIR, WARNER ROBINS, GA 31088(478) 334-7958 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jodi Lynne Pettygrove Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JODI LYNNE PETTYGROVE FNP (NPI 1033779657) is an individual family provider in Warner Robins, Georgia, licensed in Georgia (RN263633) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1033779657

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJODI LYNNE PETTYGROVECredential: FNP

Location Address115 HAVELOCK CIRWarner Robins, GA 31088

Mailing AddressPo Box 464Walworth, WI 53184-0464 · (918) 800-9066

Phone(478) 334-7958

Sole ProprietorYes

Enumeration DateJune 17, 2019

✔ NPI 1033779657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN263633

115 HAVELOCK CIR, Warner Robins, GA 31088

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jodi Pettygrove's NPI number?

The NPI number for Jodi Pettygrove is 1033779657. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Jodi Pettygrove located?

Jodi Pettygrove practices at 115 Havelock Cir, Warner Robins, GA 31088. The listed phone number is (478) 334-7958.

What is Jodi Pettygrove's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jodi Pettygrove was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.