Individual
JESSIE L WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 HITCHCOCK WAY, FAMILY MEDICINE, MANCHESTER, NH 03104-4125
(603) 629-1870
Mailing address
100 HITCHCOCK WAY, FAMILY MEDICINE, MANCHESTER, NH 03104-4125
(603) 629-1870
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0956
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3090879
—
NH
Enumeration date
01/11/2013
Last updated
02/27/2017
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