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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | MEDICARE | 434497YWUJ | 01 |
AR | 210475758 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
624 HOSPITAL DR |
City | MOUNTAIN HOME |
State | AR |
Zip Code | 72653-2955 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 72653 |
Taxonomy Code | 364SA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Adult Health |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
City | MOUNTAIN HOME |
Zip Code | 72653 |
Please comment or provide details below to improve the information on MRS. JESSICA WYNNE WOODARD.
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.