Individual
JENNIFER LYNN WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 STEPHENSON AVE, SAVANNAH, GA 31405-5968
(912) 354-7679
(912) 354-4018
Mailing address
411 STEPHENSON AVE, SAVANNAH, GA 31405-5968
(912) 354-7679
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
150597
GA
Other
Enumeration date
06/04/2019
Last updated
01/22/2020
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