Active NPI
Jillian Frances Wood, RN, MSN, WHNP
- Women's Health Nurse Practitioner
- Saint Paul, MN
National Provider Identifier
1386988764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- R173616-6
- Practice address
- 968 Grand Ave
Saint Paul, MN 55105-3014 - Phone
- (651) 895-2520
- Fax
- (651) 330-3768
- NPI assigned
- Nov 25, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | R173616-6 | MN | Primary |
Addresses
Primary practice location
968 Grand Ave
Saint Paul, MN 55105-3014
Mailing address
4741 Dupont Ave S
Minneapolis, MN 55419-5323
Phone (612) 599-0054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R173616-6 | MN | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369612800000",
"number": "1386988764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4741 DUPONT AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554195323",
"telephone_number": "612-599-0054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "968 GRAND AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551053014",
"telephone_number": "651-895-2520",
"fax_number": "651-330-3768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "JILLIAN",
"middle_name": "FRANCES",
"name_prefix": "Mrs.",
"credential": "RN, MSN, WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-25",
"last_updated": "2013-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MN",
"license": "R173616-6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.