Individual
MS. SUSAN LYNN WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADULT NURSE PRACTITI
Contact information
Practice address
114C MEMORIAL DRIVE, FAMILY CARE CLINIC, JAKCSONVILLE, NC 28546
(910) 353-7788
(910) 353-7498
Mailing address
103 HONEY TREE COURT, MIDWAY PARK, NC 28544-1642
(910) 353-0235
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
900014
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000362
—
NC
Enumeration date
07/19/2006
Last updated
07/08/2007
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