Individual
DEA JENIECE WOOLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1729 WILDWOOD DR STE 103, VIRGINIA BEACH, VA 23454-3176
(757) 938-3654
(757) 938-3658
Mailing address
2035 RIDGE END RD, VIRGINIA BEACH, VA 23454-1028
(757) 214-4469
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024187794
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024187794
VA
363LP2300X
Primary Care Nurse Practitioner
0024187794
VA
Other
Enumeration date
08/15/2023
Last updated
09/03/2025
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