Individual
JENNIFER NICOLE WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
147 JAMES ST, GRAY, GA 31032-6358
(478) 405-0045
(478) 405-0054
Mailing address
3448 VINEVILLE AVE, MACON, GA 31204-1867
(478) 405-0045
(478) 405-0054
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN255139
GA
Other
Enumeration date
02/13/2019
Last updated
03/28/2025
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