Provider Demographics
NPI:1669158382
Name:WOODS, TAYLOR JESSICA
Entity type:Individual
Prefix:MS
First Name:TAYLOR
Middle Name:JESSICA
Last Name:WOODS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:653 MAYTIDE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227
Mailing Address - Country:US
Mailing Address - Phone:510-289-7211
Mailing Address - Fax:
Practice Address - Street 1:208 WEIMAR ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14206-3253
Practice Address - Country:US
Practice Address - Phone:510-289-7211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No372600000XNursing Service Related ProvidersAdult Companion