Healthcare Provider Details

I. General information

NPI: 1689538795
Provider Name (Legal Business Name): JANET WOODS MSN BSN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 W BRAMLEY ST
JETMORE KS
67854-9320
US

IV. Provider business mailing address

810 W BRAMLEY ST
JETMORE KS
67854-9320
US

V. Phone/Fax

Practice location:
  • Phone: 620-357-8354
  • Fax: 620-357-6103
Mailing address:
  • Phone: 620-357-8354
  • Fax: 620-357-6103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1385392112
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: