Individual
JESSICA WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7000
Mailing address
4404 DOWDY DR, ANTIOCH, TN 37013-2725
(352) 428-1101
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431597
NY
Other
Enumeration date
08/02/2019
Last updated
06/01/2023
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