Individual
JAMIE E WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7703
Mailing address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7703
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024177620
VA
363LP0200X
Pediatric Nurse Practitioner
ARNP 9323648
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007189700
—
FL
Enumeration date
09/14/2012
Last updated
08/01/2023
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