Organization
JESSICA WOOD PEDIATRIC NURSE PRACTITIONER PLLC
Active
Organization
JESSICA WOOD PEDIATRIC NURSE PRACTITIONER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA WOOD NP (NURSE PRACTITIONER)
(631) 275-5545
Entity
Organization
Contact information
Practice address
122 W ROE BLVD, PATCHOGUE, NY 11772-2569
(631) 260-1314
(631) 629-6762
Mailing address
14 BOISENBERRY LN, CENTER MORICHES, NY 11934-1416
(631) 275-5545
(631) 629-6762
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
04/24/2025
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