Individual
JESSICA L WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36589
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01303
WELLMARK BCBS
IA
05
—
0763441
—
IA
Enumeration date
02/22/2007
Last updated
11/26/2007
Update your record
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