person
Ms. Jacquese Lynel Woodruff, PHARMD
Student in an Organized Health Care Education/Training Program in Fort Wayne, Indiana
NPI 1770251530

Jacquese Lynel Woodruff is a Student in an Organized Health Care Education/Training Program based in Roanoke, IN. Jacquese Lynel Woodruff practices in Fort Wayne, IN and has the professional credentials of PHARMD. The NPI Number for Jacquese Lynel Woodruff is 1770251530 and holds a License No. 45022964A (Indiana).

The current practice location address for Jacquese Lynel Woodruff is 10627 Diebold Rd, Fort Wayne, IN and can be reached out via phone at 260-470-2700.

Location: 10627 Diebold Rd, Fort Wayne, IN, 46783-8606
person
Provider Profile Details
NPI Number
1770251530
Provider Name
Jacquese Lynel Woodruff
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
10627 Diebold Rd, Fort Wayne, IN, 46783-8606
Phone Number
260-470-2700
Fax Number
Provider Enumeration Date
09/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10627 Diebold Rd
City
State
Zip
46845-8606
Phone Number
260-470-2700
Fax Number
person
Provider Business Mailing Address Details
Address
10627 Diebold Rd
City
State
Zip
46845-8606
Phone Number
260-470-2700
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
45022964A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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