Provider Demographics
NPI:1659315299
Name:WOOD, NANCI R (ARNP)
Entity Type:Individual
Prefix:
First Name:NANCI
Middle Name:R
Last Name:WOOD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:NANCI
Other - Middle Name:R
Other - Last Name:WOOD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PMH-NP
Mailing Address - Street 1:3751 SW 86TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-7901
Mailing Address - Country:US
Mailing Address - Phone:813-486-1752
Mailing Address - Fax:
Practice Address - Street 1:3751 SW 86TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-7901
Practice Address - Country:US
Practice Address - Phone:813-486-1752
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2584612363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health