Organization · Type 2 NPI

Jessica Wood Pediatric Nurse Practitioner PLLC

Pediatric Nurse Practitioner · Patchogue, NY

NPI number 1114578416 Active

Practice location

122 W Roe Blvd
Patchogue, NY 11772-2569

Fax (631) 629-6762

Mailing address

14 Boisenberry Ln
Center Moriches, NY 11934-1416

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XNone listed

Pediatric Nurse Practitioner: Definition to come...

15 other providers at this address

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About NPI 1114578416

Jessica Wood Pediatric Nurse Practitioner PLLC's National Provider Identifier is 1114578416, issued on Sep 27, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Patchogue, NY. The record was last updated on Apr 24, 2025.