MEDICARE: MRS. JENNIE WOODS PA-C

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	363A00000X	Physician Assistant	PA9120954	FL
2	207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	PA9120954	FL

General Provider Information

NPI Number	:	1518835396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIE WOODS PA-C

Provider Business Mailing Address
First Line	:	6719 GALL BLVD STE 208
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-2569
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6748 GALL BLVD
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-2545
Country	:	US
Telephone Number	:	813-467-4270
Fax Number	:	813-467-4272

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

Provider Enumeration Date	:	10/24/2025
Last Update Date	:	01/15/2026

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