IndividualActive
Jeanne Bodner, NP
NPI 1487041539 · Primary Care Nurse Practitioner · Roanoke, VA
Provider details
- NPI number
- 1487041539
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- NPAG0115122 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
101 Elm Ave Se
Roanoke, VA 24013-2222
Phone: (540) 981-7001
Approximate (ZIP-level) locationGet directions
Mailing address
210 Drake Lndg
New Bern, NC 28560-8416
Registry dates
- Enumerated
- 2015-04-15
- Last updated
- 2021-09-07
- Certified
- 2021-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.