Individual
JAYDRA WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN,FNP-C
Contact information
Practice address
PO BOX 429, MC LEANSBORO, IL 62859-0429
(618) 643-2361
(618) 643-2502
Mailing address
309 W SAINT LOUIS ST, SUITE C, WEST FRANKFORT, IL 62896-2099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.012587
IL
Other
Enumeration date
03/03/2015
Last updated
08/02/2017
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