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NPI Code Detail

MEDICARE: JODI NICOLE GORGONE

MEDICARE: JODI NICOLE GORGONE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse113685IA

General Provider Information

NPI Number : 1134073638
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODI NICOLE GORGONE
Provider Business Mailing Address
First Line : 601 HIGHWAY 6 W
Second Line :
City : IOWA CITY
State : IA
Zip : 52246-2209
Country : US
Telephone Number : 319-338-0581
Fax Number : 319-887-4905
Provider Business Practice Location Address
First Line : 601 HIGHWAY 6 W
Second Line :
City : IOWA CITY
State : IA
Zip : 52246-2209
Country : US
Telephone Number : 319-338-0581
Fax Number : 319-887-4905
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2026
Last Update Date : 02/23/2026

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Directions to “ JODI NICOLE GORGONE ” Practice Location

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