Individual
MRS. JENNIFER ANN WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10111 E 21ST ST N STE 105, WICHITA, KS 67206-3555
(316) 221-9653
Mailing address
10111 E 21ST ST N STE 105, WICHITA, KS 67206-3555
(316) 221-9653
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02916
KS
363AM0700X
Medical Physician Assistant
54506
CA
Other
Enumeration date
06/08/2017
Last updated
10/16/2024
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