# WENDY A WIGMORE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Jackson Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427102235
- **Authorized official:** WENDY ANN WIGMORE RN (OWNER)
- **Authorized official phone:** (707) 446-7014

## Contact information

- **Practice address:** 604 MAIN ST, WOODLAND, CA 95695-3405
- **Practice address phone:** (530) 661-7409
- **Practice address fax:** (530) 644-4163
- **Mailing address:** 604 MAIN ST, WOODLAND, CA 95695-3405
- **Mailing address phone:** (530) 661-7409
- **Mailing address fax:** (530) 644-4163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PENDING | CA | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 04/20/2009