Woodcock, Jacqueline Nicole

Woodcock, Jacqueline Nicole is an individual health care provider with primary practice located at 35 Bill Fries Dr Bldg L, Hilton Head Island SC 29926-2730. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Woodcock, Jacqueline Nicole can be contacted via phone (843) 342-4455.

Contact Information

Primary practice address
35 Bill Fries Dr Bldg L Hilton Head Island SC 29926-2730
Phone: (843) 342-4455
Fax: (843) 342-4435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2714 South Carolina

Profile Details

NPI number 1326399809
LBN Legal business name Woodcock, Jacqueline Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2012
Last updated Mar 13th, 2017 - about 8 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 1326399809 NPPES
South Carolina Other 2714 NPI 1326399809

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