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Individual

JENNIFER L WOODARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNS

Contact information

Practice address
1115 N RONALD REAGAN PKWY, STE 141, AVON, IN 46123-6913
(317) 962-2929
(317) 962-2070
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
71005699A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201320970
IN
Enumeration date
08/26/2015
Last updated
02/24/2021
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