Individual
JENNIFER WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8300 W CHEYENNE AVE STE 106, LAS VEGAS, NV 89129-2177
(936) 870-5099
Mailing address
1821 MONTVALE CT, LAS VEGAS, NV 89134-6683
(410) 491-1224
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95189909
CA
363L00000X
Nurse Practitioner
95012463
CA
363LF0000X
Family Nurse Practitioner
Primary
888895
NV
363LF0000X
Family Nurse Practitioner
95012463
CA
Other
Enumeration date
10/30/2019
Last updated
06/26/2025
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