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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