Individual
MRS. BILLIE JO WOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7375 OSWEGO RD, LIVERPOOL, NY 13090-3717
(315) 291-0064
(315) 291-0065
Mailing address
PO BOX 500, ELLICOTTVILLE, NY 14731-0500
(716) 699-9035
(716) 699-9035
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F334646-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02684077
—
NY
01
—
170811
PREFERRED CARE PROVIDER #
NY
01
—
2005004992
ANCC (CREDENTIALING CTR)
NY
01
—
F334646-1
FNP LICENSE NUMBER IN NYS
NY
01
—
P019334646
EXCELLUS ROCHESTER REGION
NY
Enumeration date
06/17/2006
Last updated
04/13/2023
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