Wood Primary Care Clinic PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WOOD PRIMARY CARE CLINIC PLLC

Practice address

2524 Alexander Dr Ste D
Jonesboro, AR 72401-7175

Phone

(870) 336-2232

Fax

(870) 336-2051

NPI assigned

Jun 29, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Jessica Wood, APRNNPI 1124432455

Title

Owner/Authorized Official

Phone

(870) 919-2874

Specialties & licenses 1

Addresses

Other names 1

• WOOD PRIMARY CARE CLINIC Former legal business name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26831/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Jessica Wood, APRN

  • Nurse Practitioner
  • Jonesboro, AR
  • NPI 1124432455
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1407588346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 ALEXANDER DR STE D",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017175",
            "telephone_number": "870-919-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 ALEXANDER DR STE D",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017175",
            "telephone_number": "870-336-2232",
            "fax_number": "870-336-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD PRIMARY CARE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2023-01-26",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "870-919-2874",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOOD PRIMARY CARE CLINIC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "WOOD PRIMARY CARE CLINIC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Terry Womble, PT
• Womens Wellness Center of Northeast Arkansas, LTD. (McClurkan Clinic For Women)
• Charis Won
• Wondercare LLC
• Candace Wong
• Wood Vision Clinic
• Angelina Wood, MCD, CCC-SLP
• Jennifer Wood
• Jessica Wood, APRN
• Jewel Eloise Wood, LCSW

• Family Nurse Practitioner in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.