Individual
MRS. JANICE JORDAN WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
4559 LAMM RD SW, WILSON, NC 27893-9654
(252) 399-7930
Mailing address
4559 LAMM RD SW, WILSON, NC 27893-9654
(252) 399-7930
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6810
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412313
—
NC
Enumeration date
03/02/2007
Last updated
08/07/2026
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