Doctor Name: | MS. JANICE ANN WOODALL |
NPI Number: | 1164408522 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | A051371 |
Business Practice Address: | 213 N 2nd St Cherokee, IA - 510121833 |
Business Phone Number: | 7122250191 |
Business Fax Number: | 7122250196 |
Mailing Address: | 213 N 2nd St, CHEROKEE |
State: | IA |
Postal Code: | 510121833 |
Phone Number: | 7122250191 |
Fax Number: | 7122250196 |
NPI Enumeration Date: | 12/19/2005 |
NPI Last Update Date: | 12/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A051371 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |