Individual
JILL D WOODHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1118 ROSS CLARK CIR, SUITE 100, DOTHAN, AL 36301-3001
(334) 794-1148
(334) 793-1954
Mailing address
1118 ROSS CLARK CIR, SUITE 100, DOTHAN, AL 36301-3001
(334) 794-1148
(334) 793-1954
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1049498
AL
Other
Enumeration date
06/20/2007
Last updated
01/12/2010
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