Wood, Jerri L

Wood, Jerri L is an individual health care provider with primary practice located at 301 Great Teays Blvd Ste 6 , Scott Depot WV 25560-9552. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wood, Jerri L can be contacted via phone (304) 757-6999.

Contact Information

Primary practice address
301 Great Teays Blvd Ste 6 Scott Depot WV 25560-9552
Phone: (304) 757-6999
Fax: (304) 201-5019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9352901 Florida

Profile Details

NPI number 1962565192
LBN Legal business name Wood, Jerri L
Credentials APRN,BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Sep 19th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962565192 NPPES
West Virginia MEDICAID 3810013710
West Virginia MEDICAID 5630092000
West Virginia MEDICAID 3810011888

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