MEDICARE: JESSICA LYNN HARLOW-WOOD NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	0024190893	VA

General Provider Information

NPI Number	:	1770313322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LYNN HARLOW-WOOD NP

Provider Business Mailing Address
First Line	:	239 CARTER LN
Second Line	:
City	:	LOUISA
State	:	VA
Zip	:	23093-2657
Country	:	US
Telephone Number	:	540-259-0868
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 REBECCA DR
Second Line	:
City	:	PALMYRA
State	:	VA
Zip	:	22963-6242
Country	:	US
Telephone Number	:	434-654-4680
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2024
Last Update Date	:	06/12/2026

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