Healthcare Provider Details

I. General information

NPI: 1275915357
Provider Name (Legal Business Name): JAMIA WOODARD PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2015
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N HOWARD ST STE 6581
SPOKANE WA
99201-0508
US

IV. Provider business mailing address

100 N HOWARD ST STE 6581
SPOKANE WA
99201-0508
US

V. Phone/Fax

Practice location:
  • Phone: 509-214-7342
  • Fax:
Mailing address:
  • Phone: 509-214-7342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN61244392
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61554998
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: