MRS. JESSICA WYNNE WOODARD


Address: 624 Hospital Dr, Mountain Home, AR 72653-2955
Phone: 8705081000

MRS. JESSICA WYNNE WOODARD (NPI# 1679908545) 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) 1679908545
Entity Type Individual
Full Name MRS. JESSICA WYNNE WOODARD
Credential MSN, APN, ACNS-BC
Practice Address 624 Hospital Dr
Mountain Home
AR 72653-2955
Mailing Address 860 Highway 62 E Ste 10
Mountain Home
AR 72653-3200
Practice Telephone 8705081000
Practice Fax Number 8704243089
Mailing Telephone 8704243181
Mailing Fax Number 8704243089
Enumeration Date 2013-09-10
Last Update Date 2020-03-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SA2200X Clinical Nurse Specialist
Specialization: Adult Health
S002279 AR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR MEDICARE 434497YWUJ 01
AR 210475758 05

Other Providers JESSICA WOODARD

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1265887780 Jessica Woodard Nurse Practitioner 1900 Patterson St Ste 205, Nashville, TN 37203-2165 2016-05-03
1346895711 Jessica Woodard Nurse Practitioner 150 55th St, Brooklyn, NY 11220-2508 2019-08-02
1447774609 Jessica Woodard Behavior Technician 41521 W 11 Mile Rd, Novi, MI 48375-1803 2017-07-31
1366819443 Jessica Woodard Physical Therapist 1054 James St, Syracuse, NY 13203-2749 2015-08-25
1184967788 Jessica Anne Woodard Counselor 4102 Woolworth Ave, Omaha, NE 68105-1851 2013-04-02

Office Location

Street Address 624 HOSPITAL DR
City MOUNTAIN HOME
State AR
Zip Code 72653-2955

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942296900 Michael L Recktenwald Pharmacist 624 Hospital Dr, Employee Pharmacy Department, Mountain Home, AR 72653-2955 2005-09-26
1790308146 Christopher Justin Robinson Nurse Anesthetist, Certified Registered 624 Hospital Dr, Mountain Home, AR 72653-2955 2020-05-20
1164044665 Jeffrey Dupre Jr. Nurse Anesthetist, Certified Registered 624 Hospital Dr, Mountain Home, AR 72653-2955 2020-05-07
1851924765 Jordan Frey Eldridge Nurse Anesthetist, Certified Registered 624 Hospital Dr, Mountain Home, AR 72653-2955 2020-02-19
1588296586 Amanda M Horne Nurse Practitioner 624 Hospital Dr, Mountain Home, AR 72653-2955 2020-02-07
1962976472 Baxter County Regional Hospital, Inc General Acute Care Hospital 624 Hospital Dr, Mountain Home, AR 72653-2955 2019-01-17
1184127292 Meagan Thitoff Nurse Practitioner 624 Hospital Dr, Mountain Home, AR 72653-2955 2018-03-15
1972002020 Sarah Marie Eaton Nurse Practitioner 624 Hospital Dr, Mountain Home, AR 72653-2955 2018-02-05
1508364449 Lacey Hlass Nurse Anesthetist, Certified Registered 624 Hospital Dr, Mountain Home, AR 72653-2955 2018-01-25
1881102192 Elizabeth Ann Smithhart Nurse Anesthetist, Certified Registered 624 Hospital Dr, Mountain Home, AR 72653-2955 2018-01-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619513934 Maranda Hickman Physical Therapy Assistant 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 2019-11-21
1659929156 Gale E Bacan Technician 1703 Monroe Ave, Mountain Home, AR 72653 2019-08-28
1891259321 Kidspiration Pediatric Therapy Services Clinic/Center 710 Bradley Dr., Mountain Home, AR 72653 2019-01-29
1093279275 Piper's Vision Xpress, LLC Optometrist 50 Paul Wood Lane, Mountian Home, AR 72653 2019-01-22
1346769155 Heather Bollinger Nurse Practitioner 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 2017-09-12
1447774989 Natalie D Ahrent Physical Medicine & Rehabilitation 804 Coley Dr, Mountain Home, AR 72653 2017-07-26
1417486028 Andrew David Hatman Case Manager/Care Coordinator 1349 Hampshire Circle, Mountain Home, AR 72653 2017-06-07
1568848315 Taylor Chiropractic Plc Health Maintenance Organization 103 S Main St Ste 5, Mountain Home, AR 72653 2015-08-04
1942606306 Harps Food Stores, Inc Pharmacy 2089 Highway 62 West, Mountain Home, AR 72653 2014-11-13
1972920726 Lavonne Armstrong Counselor 8 Medical Plaza, Mountain Home, AR 72653 2014-03-18
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Taxonomy Information

Taxonomy Code 364SA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255677027 Brandi Nicole Sharp Clinical Nurse Specialist 421 W Wade Ave, Mountain Home, AR 72653-4622 2012-12-21
1164979605 Jamie Parrott Clinical Nurse Specialist 624 Hospital Dr, Mountain Home, AR 72653-2955 2016-09-01
1386071785 Kathleen Joy Prinner Clinical Nurse Specialist 628 Hospital Dr, Suite 3e, Mountain Home, AR 72653-2953 2013-09-30
1326320276 Tracy A Bollinger-fisher Clinical Nurse Specialist 230 Highway 5 N Ste 20, Mountain Home, AR 72653-3031 2011-09-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871126698 Sarah Lowtharp Clinical Nurse Specialist 225 East Washington Ave., Jonesboro, AR 72401 2020-02-20
1275182677 Central Arkansas Screening and Medical Services Clinical Nurse Specialist 801 W. Locust St, Cabot, AR 72023 2019-09-09
1487138608 Shonta Ellison Clinical Nurse Specialist 130 Lake Valley Dr, Maumelle, AR 72113-5939 2018-09-24
1740731660 Holly Bunn Clinical Nurse Specialist 41 Harding Dr, Searcy, AR 72143-5704 2016-10-14
1457808362 Candice Caldwell Clinical Nurse Specialist 1809 Ozarka College Dr, Mountain View, AR 72560-6455 2016-09-08
1548672413 Angela Pugsley Clinical Nurse Specialist 900 Enterprise Dr, Jonesboro, AR 72401-9239 2014-05-27
1104164706 Betty D Corley Clinical Nurse Specialist 4 Redhead Dr, Conway, AR 72032-9756 2013-01-17
1760744080 Elizabeth H Jarvis Clinical Nurse Specialist 500 S University Ave Ste 500, Little Rock, AR 72205-5307 2012-06-12
1134489842 Barbara Frances Gray Clinical Nurse Specialist 2020 Hytrol St, Jonesboro, AR 72401-6712 2012-05-29
1881913408 Nelson Andrew Seal Clinical Nurse Specialist 4 Charithcher Ln, Bella Vista, AR 72714-3247 2010-05-21
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Competitor

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City MOUNTAIN HOME
Zip Code 72653

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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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