Woodford, Jennifer Theresa

Woodford, Jennifer Theresa is an individual health care provider with primary practice located at 2220 Vestal Pkwy E Fl 2 , Vestal NY 13850-1947. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Woodford, Jennifer Theresa can be contacted via phone (607) 306-7546.

Contact Information

Primary practice address
2220 Vestal Pkwy E Fl 2 Vestal NY 13850-1947
Phone: (607) 306-7546
Fax: (607) 821-7848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 594132 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F336916-1 New York

Profile Details

NPI number 1720366982
LBN Legal business name Woodford, Jennifer Theresa
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2011
Last updated Mar 25th, 2024 - about last year

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 1720366982 NPPES
New York MEDICAID 03447481

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