Woodard, Jessica Wynne

Woodard, Jessica Wynne is an individual health care provider with primary practice located at 624 Hospital Dr , Mountain Home AR 72653-2955. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Woodard, Jessica Wynne can be contacted via phone (870) 508-1000.

Contact Information

Primary practice address
624 Hospital Dr Mountain Home AR 72653-2955
Phone: (870) 508-1000
Fax: (870) 424-3089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X S002279 Arkansas

Profile Details

NPI number 1679908545
LBN Legal business name Woodard, Jessica Wynne
Credentials MSN, APN, ACNS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2013
Last updated Mar 7th, 2020 - about 5 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 1679908545 NPPES
Arkansas MEDICAID 210475758
Arkansas Other 434497YWUJ

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