Individual
JESSICA WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2011019534
MO
363LF0000X
Family Nurse Practitioner
Primary
2017002826
MO
363LF0000X
Family Nurse Practitioner
53-77515-122
KS
Other
Enumeration date
02/03/2017
Last updated
12/27/2018
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