Individual
MS. JENNIFER R WOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12701 TELEGRAPH RD, SUITE 103, TAYLOR, MI 48180-6847
(734) 374-0500
(734) 374-2415
Mailing address
12701 TELEGRAPH RD, SUITE 103, TAYLOR, MI 48180-6847
(734) 374-0500
(734) 374-2415
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704239555
MI
363LF0000X
Family Nurse Practitioner
Primary
4704239555
MI
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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