Individual
DR. JENNIFER LYNN WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
415 BROAD ST STE 410, KINGSPORT, TN 37660-4264
(423) 239-9737
Mailing address
267 DUBLIN RD, JOHNSON CITY, TN 37615-4709
(423) 829-7268
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102204114
VA
207Q00000X
Family Medicine Physician
DO0000002677
TN
Other
Enumeration date
03/28/2012
Last updated
10/08/2015
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