Provider Demographics
NPI:1881630069
Name:WOOD, JANITH CAROLYN (DSN CRNP)
Entity Type:Individual
Prefix:DR
First Name:JANITH
Middle Name:CAROLYN
Last Name:WOOD
Suffix:
Gender:F
Credentials:DSN CRNP
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Mailing Address - Street 1:101 MEMORIAL HOSPITAL DR 200
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-1787
Mailing Address - Country:US
Mailing Address - Phone:251-414-5900
Mailing Address - Fax:251-281-1163
Practice Address - Street 1:1921 K DAUPHIN ISLAND PARKWAY
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36605-3004
Practice Address - Country:US
Practice Address - Phone:251-476-6330
Practice Address - Fax:251-473-1086
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2015-12-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL1033492363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51533951OtherBCBS