Provider Demographics
NPI:1114158599
Name:WOODY, JENNIFER RHODES (NP-C)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:RHODES
Last Name:WOODY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3147 BIOINFORMATICS BUILDING
Mailing Address - Street 2:130 MASON FARM ROAD
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7055
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:AMBULATORY CARE CTR
Practice Address - Street 2:101 MASON FARM ROAD
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-962-6637
Practice Address - Fax:919-966-7956
Is Sole Proprietor?:No
Enumeration Date:2009-08-03
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCF0609322363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily