JODY TATE RN
NPI 1679125603
Registered Nurse - Addiction (Substance Use Disorder) in Fairbanks, AK
Active since July 10, 2019
About Jody Tate Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JODY TATE RN (NPI 1679125603) is an individual addiction (substance use disorder) provider in Fairbanks, Alaska, licensed in Alaska (18627) and active in the NPI registry since July 2019.
NPPES Registry Identity
NPI1679125603
Entity TypeIndividualFemale
Primary Taxonomy163WA0400X
Provider Legal NameJODY TATECredential: RN
Location Address650 YOUNKER CTFairbanks, AK 99701-7586
Mailing Address650 Younker CtFairbanks, AK 99701-7586
Phone(907) 456-1053
Sole ProprietorNo
Enumeration DateJuly 10, 2019
✔ NPI 1679125603 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License✔ Licensed in AK · 18627
650 YOUNKER CT, Fairbanks, AK 99701
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
650 YOUNKER CT
FAIRBANKS, AK 99701
FAIRBANKS, AK 99701
Registered Nurse (Addiction (Substance Use Disorder))
650 YOUNKER CT
FAIRBANKS, AK 99701
FAIRBANKS, AK 99701
Registered Nurse (Addiction (Substance Use Disorder))
650 YOUNKER CT
FAIRBANKS, AK 99701
FAIRBANKS, AK 99701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679125603, enumerated as an "individual" on July 10, 2019.
The provider is located at 650 YOUNKER CT FAIRBANKS, AK 99701 and the phone number is (907) 456-1053.
Registered Nurse with taxonomy code 163WA0400X and a focus in Addiction (Substance Use Disorder).