JENNIFER GWEN WOOD PA-C - NPI 1235302753 - Physician Assistant in Macon, GA

Q: What is Jennifer Wood's NPI number?

The NPI number for Jennifer Wood is 1235302753. It was assigned to this individual provider in the NPPES registry on April 4, 2008.

Q: What is Jennifer Wood's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Wood was last updated on February 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jennifer Gwen Wood Pa-c NPPES

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

JENNIFER GWEN WOOD PA-C (NPI 1235302753) is an individual medical provider in Macon, Georgia, licensed in Georgia (005329) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1235302753

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJENNIFER GWEN WOODCredential: PA-C

Location Address240 SHERATON BLVDMacon, GA 31210-1358

Mailing Address240 Sheraton BlvdMacon, GA 31210-1358 · (478) 471-1943 · Fax (478) 475-9780

Phone(478) 471-1943

Fax(478) 475-9780

Sole ProprietorNo

Enumeration DateApril 4, 2008

Last NPPES UpdateFebruary 9, 2011

✔ NPI 1235302753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in GA · 005329

240 SHERATON BLVD, Macon, GA 31210

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Other Identifiers 2

Medicaid322789982BGA

Medicare PIN202I285167GA

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMELIA GRACE ANDREWS GRANGER PA-C

Physician Assistant