Individual provider · Type 1 NPI
Jennifer Lynn Wood, PNP
Pediatric Nurse Practitioner · Phoenix, AZ
NPI number
1184979650
Active
Practice location
635 E Baseline Rd
Phoenix, AZ 85042-6551
Fax (602) 243-1235
Mailing address
2702 N 3rd St, #4020
Phoenix, AZ 85004-1130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | AP4536 (AZ) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1184979650
Jennifer Lynn Wood, PNP's National Provider Identifier is 1184979650, issued on Jul 19, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 5, 2015.