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Individual

JO-ELLEN C WOODRUFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
2050 KENNY RD, ROOM 916, COLUMBUS, OH 43221-3502
(614) 366-7657
(614) 293-3370
Mailing address
700 ACKERMAN RD, SUITE 260, COLUMBUS, OH 43202-1559
(614) 947-3700

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
RN.296379-COA1
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.08764-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3128627
OH
Enumeration date
03/06/2007
Last updated
04/26/2012
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