Individual
JESSICA WYNNE WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
624 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2955
(870) 508-1000
(870) 424-6616
Mailing address
PO BOX 1269, MOUNTAIN HOME, AR 72654-1269
(870) 424-7070
(870) 424-6616
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
S002279
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210475758
—
AR
Enumeration date
09/10/2013
Last updated
04/02/2025
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