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Individual

JENNIFER WOODARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13211 CHAPELSIDE AVE, CLEVELAND, OH 44120-4605
(216) 820-5183
Mailing address
1653 E 75TH ST, CLEVELAND, OH 44103-4111
(216) 820-5183

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
396670
OH
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
396670
OH
163WA2000X
Administrator Registered Nurse
396670
OH
163WC0400X
Case Management Registered Nurse
396670
OH
163WC1500X
Community Health Registered Nurse
Primary
396670
OH
163WC1600X
Continuing Education/Staff Development Registered Nurse
396670
OH
163WG0000X
General Practice Registered Nurse
396670
OH
163WH0200X
Home Health Registered Nurse
396670
OH
163WP0200X
Pediatric Registered Nurse
396670
OH
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
396670
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
396670
OH

Other

Enumeration date
02/13/2025
Last updated
02/13/2025
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