MEDICARE: MRS. BILLIE JO WOODHAM ARNP

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	363LF0000X	Family Nurse Practitioner	3281042	FL
2	363LF0000X	Family Nurse Practitioner	5019149	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851564884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BILLIE JO WOODHAM ARNP

Provider Business Mailing Address
First Line	:	210 13TH AVENUE PL NW STE 120
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-2568
Country	:	US
Telephone Number	:	828-328-2941
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 13TH AVENUE PL NW STE 120
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-2568
Country	:	US
Telephone Number	:	828-328-2941
Fax Number	:

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

Provider Enumeration Date	:	04/10/2008
Last Update Date	:	01/11/2024

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