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Jennifer Kaitlyn Woodell
Family Nurse Practitioner in Fort Mill, South Carolina
NPI 1639795891

Jennifer Kaitlyn Woodell is a Family Nurse Practitioner based in Dallas, SC and is specialized in Family. Jennifer Kaitlyn Woodell practices in Fort Mill, SC. The NPI Number for Jennifer Kaitlyn Woodell is 1639795891 and holds a License No. 5014414 (South Carolina).

The current practice location address for Jennifer Kaitlyn Woodell is 515 River Crossing Dr Ste 180, Fort Mill, SC and can be reached out via phone at 803-547-7541.

Location: 515 River Crossing Dr Ste 180, Fort Mill, SC, 75254-2916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639795891
Provider Name
Jennifer Kaitlyn Woodell
Credential
Provider Entity Type
Individual
Gender
Female
Address
515 River Crossing Dr Ste 180, Fort Mill, SC, 75254-2916
Phone Number
803-547-7541
Fax Number
Provider Enumeration Date
06/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
515 River Crossing Dr Ste 180
City
Fort Mill
State
South Carolina
Zip
29715-7901
Phone Number
803-547-7541
Fax Number
person
Provider Business Mailing Address Details
Address
515 River Crossing Dr Ste 180
City
Fort Mill
State
South Carolina
Zip
29715-7901
Phone Number
803-547-7541
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5014414 (North Carolina)
Definition
Definition to come...
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