Doctor Name: | JILL C WOZNIAK |
NPI Number: | 1285858308 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 2846P |
Business Practice Address: | 115 Crossfield Dr Ste A Versailles, KY - 403831845 |
Business Phone Number: | 8598739843 |
Business Fax Number: | |
Mailing Address: | 115 Crossfield Dr Ste A, VERSAILLES |
State: | KY |
Postal Code: | 403831845 |
Phone Number: | 8598739843 |
Fax Number: | |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 02/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 2846P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |