Individual
MS. JENNIFER L WOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1407 SAINT ANDREW ST, LA CROSSE, WI 54603-3301
(608) 372-3209
Mailing address
24546 EMBAY AVE, TOMAH, WI 54660-4340
(608) 372-6974
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
151403-030
WI
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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