Provider Demographics
NPI:1235617895
Name:WOODHEAD, JENNIFER JOYCE (CD(DONA))
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:JOYCE
Last Name:WOODHEAD
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32261 DEEP MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:LOCUST GROVE
Mailing Address - State:VA
Mailing Address - Zip Code:22508-2953
Mailing Address - Country:US
Mailing Address - Phone:540-907-7892
Mailing Address - Fax:540-854-6462
Practice Address - Street 1:32261 DEEP MEADOW LN
Practice Address - Street 2:
Practice Address - City:LOCUST GROVE
Practice Address - State:VA
Practice Address - Zip Code:22508-2953
Practice Address - Country:US
Practice Address - Phone:540-907-7892
Practice Address - Fax:540-854-6462
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-05
Last Update Date:2018-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA12887374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula