Healthcare Provider Details

I. General information

NPI: 1902078363
Provider Name (Legal Business Name): JANET BURNEY WOODS MSN, CNNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2008
Last Update Date: 03/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 STANTONSBURG RD
GREENVILLE NC
27834-2818
US

IV. Provider business mailing address

3953 NE COLLEGE ST
AYDEN NC
28513-7123
US

V. Phone/Fax

Practice location:
  • Phone: 252-847-4378
  • Fax: 252-847-9946
Mailing address:
  • Phone: 252-746-0341
  • Fax: 252-746-4518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number9801627
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: