Individual
JESSICA L WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, WHNP-BC
Contact information
Practice address
101 DUDLEY STREET, WIH TRIAGE/LDR, PROVIDENCE, RI 02905-2401
(401) 274-1122
Mailing address
455 TOLLGATE RD, PROFESSIONAL REVENUE CYCLE & CREDENTIALING, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
101.0130398
VT
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN02215
RI
Other
Enumeration date
07/07/2017
Last updated
08/05/2022
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