Individual
JESSICA DANIELS WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
310 DAVIE AVENUE, STATESVILLE, NC 28677
(704) 873-3269
(704) 871-8159
Mailing address
PO BOX 896199, CHARLOTTE, NC 28289-6199
(833) 936-1364
(605) 942-7505
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5004503
NC
Other
Enumeration date
09/29/2009
Last updated
03/10/2021
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