Woodell, Jennifer Kaitlyn
Woodell, Jennifer Kaitlyn is an individual health care provider with primary practice located at 515 River Crossing Dr Ste 180 , Fort Mill SC 29715-7901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Woodell, Jennifer Kaitlyn can be contacted via phone (803) 547-7541.Contact Information
Primary practice address
515 River Crossing Dr Ste 180
Fort Mill SC 29715-7901
Phone: (803) 547-7541
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5014414 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 24755 | South Carolina |
Profile Details
| NPI number | 1639795891 |
|---|---|
| LBN Legal business name | Woodell, Jennifer Kaitlyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2020 |
| Last updated | Sep 10th, 2023 - about 2 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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