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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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