Provider Demographics
NPI:1841966199
Name:SARKINEN, JODY M (RN)
Entity type:Individual
Prefix:
First Name:JODY
Middle Name:M
Last Name:SARKINEN
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 1:4446 ARTHUR ST NE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55421-3359
Mailing Address - Country:US
Mailing Address - Phone:763-788-4446
Mailing Address - Fax:
Practice Address - Street 1:4446 ARTHUR ST NE
Practice Address - Street 2:
Practice Address - City:COLUMBIA HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55421-3359
Practice Address - Country:US
Practice Address - Phone:763-788-4446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN158237-8163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse