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MS. SUSAN LYNN WOODRUFF ADULT NURSE PRACTITI
NPI 1619996758
Nurse Practitioner in Jakcsonville, NC

Active since July 19, 2006
114C MEMORIAL DRIVE, FAMILY CARE CLINIC, JAKCSONVILLE, NC 28546(910) 353-7788(910) 353-7498 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Susan Lynn Woodruff Adult Nurse Practiti NPPES

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

MS. SUSAN LYNN WOODRUFF ADULT NURSE PRACTITI (NPI 1619996758) is an individual nurse practitioner in Jakcsonville, North Carolina, licensed in North Carolina (900014) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1619996758
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. SUSAN LYNN WOODRUFFCredential: ADULT NURSE PRACTITI
Location Address114C MEMORIAL DRIVE, FAMILY CARE CLINICJakcsonville, NC 28546
Mailing Address103 Honey Tree CourtMidway Park, NC 28544-1642 · (910) 353-0235
Phone(910) 353-7788
Fax(910) 353-7498
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619996758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 900014
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
114C MEMORIAL DRIVE, Jakcsonville, NC 28546
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Other Identifiers 3

Medicaid7000362NC
Medicare UPINP13889
Medicare ID-Type Unspecified2599188A

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 Susan Woodruff's NPI number?

The NPI number for Susan Woodruff is 1619996758. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Susan Woodruff located?

Susan Woodruff practices at 114C Memorial Drive Family Care Clinic, Jakcsonville, NC 28546. The listed phone number is (910) 353-7788.

What is Susan Woodruff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Susan Woodruff was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.