| NPI | 1407588346 |
|---|---|
| Former Legal Business Name | WOOD PRIMARY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JESSICA WOOD Owner/Authorized Official 870-919-2874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2023-01-26 |