Individual
KOREY JAMAL WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
4915 25TH AVE NE STE 300W, SEATTLE, WA 98105-5668
(206) 520-1606
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP61329802
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP61329802
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174250633
—
WA
Enumeration date
08/04/2022
Last updated
10/20/2022
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