Provider Demographics
NPI:1174864649
Name:WOODRING, JENNIFER BETH (CRNP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:BETH
Last Name:WOODRING
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:B
Other - Last Name:MCELHINNY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 SHENANGO AVE
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-1503
Mailing Address - Country:US
Mailing Address - Phone:814-743-5449
Mailing Address - Fax:814-743-6293
Practice Address - Street 1:1555 SHAWNA RD
Practice Address - Street 2:
Practice Address - City:CHERRY TREE
Practice Address - State:PA
Practice Address - Zip Code:15724
Practice Address - Country:US
Practice Address - Phone:814-743-5449
Practice Address - Fax:814-743-6293
Is Sole Proprietor?:No
Enumeration Date:2013-03-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP023762363LP0808X
PASP012797363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health