Provider Demographics
NPI:1366460560
Name:WU, JENNIFER M (MD, MPH)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:M
Last Name:WU
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNC DEPARTMENT OF OB GYN
Mailing Address - Street 2:CB#7570
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7579
Mailing Address - Country:US
Mailing Address - Phone:919-966-4717
Mailing Address - Fax:919-843-9952
Practice Address - Street 1:101 MANNING DRIVE
Practice Address - Street 2:NORTH CAROLINA WOMEN'S HOSPITAL
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514
Practice Address - Country:US
Practice Address - Phone:919-445-7222
Practice Address - Fax:919-966-2288
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200300432207V00000X, 207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC230578OtherMEDICARE GROUP NUMBER
NC89134TTMedicaid
NC230578OtherMEDICARE GROUP NUMBER
NC2066570Medicare PIN