Individual
MRS. JENNIFER ANN WOODSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1321 N CENTER ST, HICKORY, NC 28601-2535
(828) 322-3898
(828) 322-5485
Mailing address
5319 BEACON RIDGE DR, GRANITE FALLS, NC 28630-8692
(828) 322-3898
(828) 322-5485
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001002157
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-02157
MEDICAL LICENSE
NC
Enumeration date
12/30/2009
Last updated
02/26/2013
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