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MARY JENNIFER WOOTTEN
NPI 1063148948
Driver in Medina, OH

Active since July 25, 2022
4989 SHADY BROOKE RUN, MEDINA, OH 44256(440) 351-1198 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Jennifer Wootten NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY JENNIFER WOOTTEN (NPI 1063148948) is an individual driver provider in Medina, Ohio and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1063148948
Entity TypeIndividualFemale
Primary Taxonomy172A00000X
Provider Legal NameMARY JENNIFER WOOTTEN
Location Address4989 SHADY BROOKE RUNMedina, OH 44256-8282
Mailing Address4989 Shady Brooke RunMedina, OH 44256-8282 · (440) 351-1198
Phone(440) 351-1198
Sole ProprietorYes
Enumeration DateJuly 25, 2022
NPPES CertifiedJuly 25, 2022
✔ NPI 1063148948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
4989 SHADY BROOKE RUN, Medina, OH 44256
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Wootten's NPI number?

The NPI number for Mary Wootten is 1063148948. It was assigned to this individual provider in the NPPES registry on July 25, 2022.

Where is Mary Wootten located?

Mary Wootten practices at 4989 Shady Brooke Run, Medina, OH 44256. The listed phone number is (440) 351-1198.

What is Mary Wootten's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Mary Wootten was last updated on July 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.