Organization Active NPI

Jennifer Woodard CRNP

  • Primary Care Clinic/Center
  • Jacksonville, AL
National Provider Identifier
1043083819
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JENNIFER WOODARD CRNP
Practice address
29 Trinity Way
Jacksonville, AL 36265-5813
Phone
(256) 591-3869
NPI assigned
Nov 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer WoodardNPI 1568078418
Title
Founder
Phone
(256) 591-3869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

29 Trinity Way
Jacksonville, AL 36265-5813

Mailing address

29 Trinity Way
Jacksonville, AL 36265-5813
Phone (256) 591-3869

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1043083819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 TRINITY WAY",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362655813",
            "telephone_number": "256-591-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 TRINITY WAY",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362655813",
            "telephone_number": "256-591-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER WOODARD CRNP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "256-591-3869"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.