MEDICARE: JANE ANN WOOD R.N.

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	163W00000X	Registered Nurse	R0066841	OK

General Provider Information

NPI Number	:	1386806206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE ANN WOOD R.N.

Provider Business Mailing Address
First Line	:	6361 S 80TH EAST AVE APT E
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-3824
Country	:	US
Telephone Number	:	918-806-8440
Fax Number	:

Provider Business Practice Location Address
First Line	:	6128 E 38TH ST
Second Line	:	SUITE 305
City	:	TULSA
State	:	OK
Zip	:	74135-5832
Country	:	US
Telephone Number	:	918-599-7404
Fax Number	:	918-584-2530

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

Provider Enumeration Date	:	07/01/2008
Last Update Date	:	07/01/2008

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Directions to “ JANE ANN WOOD R.N.” Practice Location

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