Healthcare Provider Details

I. General information

NPI: 1841489317
Provider Name (Legal Business Name): JODY ELIZABETH NOE MS ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2007
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 NORWICH WESTERLY RD BLDG G
NORTH STONINGTON CT
06359-1744
US

IV. Provider business mailing address

82 NORWICH WESTERLY RD BLDG G
NORTH STONINGTON CT
06359-1744
US

V. Phone/Fax

Practice location:
  • Phone: 860-495-5688
  • Fax: 860-495-5687
Mailing address:
  • Phone: 860-495-5688
  • Fax: 860-495-5687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number0990000022
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number000411
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: