Individual provider · Type 1 NPI

Jennifer Kaitlyn Woodell

Nurse Practitioner · Charlotte, NC

NPI number 1639795891 Active

Practice location

10810 Mallard Creek Rd
Charlotte, NC 28262-9786

Fax (704) 510-8006

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 515 River Crossing Dr Ste 180, Fort Mill, SC 29715-7901 · (803) 547-7541

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X5014414 (NC)
Family Nurse Practitioner 363LF0000X24755 (SC)
Nurse Practitioner Primary 363L00000X5014414 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1639795891

Jennifer Kaitlyn Woodell's National Provider Identifier is 1639795891, issued on Jun 23, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Jun 30, 2025.