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General NPI Number Information
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NPI Number | 1598462012
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Entity Type | Individual
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Provider Name | JENNIFER CHRISTINE WOODY AGNP
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Gender | Female
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Dates
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Enumeration Date | 02/15/2023
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 1220 MAGNOLIA ST
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City | GREENSBORO
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State | NC
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Zip | 27401-1309
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Country | US
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Telephone | 336-938-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 542 WHITE OAK ST
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City | ASHEBORO
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State | NC
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Zip | 27203-4772
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Country | US
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Telephone | 336-451-9071
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AG06230049
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5018436
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 209699
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License Number State | NC
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