Individual
JENNA MARIE WOODFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510
(203) 688-4242
Mailing address
9201 E MOUNTAIN VIEW RD, STE 220, SCOTTSDALE, AZ 85258-5172
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5782
CT
Other
Enumeration date
07/17/2014
Last updated
05/21/2018
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