JEANNE GYNELLE WOODEN


Address: 5665 Fort Rd, Greenwood, FL 32443-1969
Phone: 8502722712

JEANNE GYNELLE WOODEN (NPI# 1326505017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326505017
Entity Type Individual
Full Name JEANNE GYNELLE WOODEN
Practice Address 5665 Fort Rd
Greenwood
FL 32443-1969
Practice Telephone 8502722712
Mailing Telephone 8502722712
Enumeration Date 2019-02-28
Last Update Date 2019-02-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
RN9232286 FL Nursing Service Providers

Office Location

Street Address 5665 FORT RD
City GREENWOOD
State FL
Zip Code 32443-1969

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Taxonomy Information

Taxonomy Code 163WP0809X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

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Competitor

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City GREENWOOD
Zip Code 32443

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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