Individual
JANICE W WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., C.P.N.P.
Contact information
Practice address
3060 GODWIN BLVD, SUFFOLK, VA 23434-8274
(757) 923-9660
(757) 923-9665
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3516
(757) 686-0230
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024103364
VA
363LP0200X
Pediatric Nurse Practitioner
17000970
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007780281
—
VA
01
—
335590N
OPTIMA
VA
05
—
7003897
—
NC
Enumeration date
07/18/2006
Last updated
02/12/2019
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