Overview
Name: MRS. JODY L. CHURCH P.N.P.
Specialty: Pediatric Nurse Practitioner
Type of Practice: Individual provider
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Physician Assistants & Advanced Practice Nursing Providers
Classification: Nurse Practitioner
Specialization: Pediatrics.
Definition of Specialty: Definition to come…
License & NPI
License #(s): 171, , , ,
License State(s): CA, , , ,
Addresses
Practice Location: 12540 PIERCE ST,PACOIMA,CA,913311701,US
Mailing Address: 1172 N MACLAY AVE,SAN FERNANDO,CA,913401328,US
Contact #
Practice location phone #: 8188972193
Practice location fax #: 8188993864
Mailing address Phone #: 8188981388
Mailing Address fax #: 8183654031
Authorized official Name/Telephone #:
Misc
Date NPI was obtained: 08/02/2005
Last data data was updated: 07/08/2007
Insurances: