Woodall, Jessica Cornelia
Woodall, Jessica Cornelia is an sole proprietor health care provider with primary practice located at 4866 Big Island Dr Unit 5 , Jacksonville FL 32246-5301. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Woodall, Jessica Cornelia can be contacted via phone (904) 652-0652.Contact Information
Primary practice address
4866 Big Island Dr Unit 5
Jacksonville FL 32246-5301
Phone: (904) 652-0652
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 11015255 | Florida |
| Nursing Service Providers / Pediatrics | 163WP0200X | 9435365 | Florida |
Profile Details
| NPI number | 1114563301 |
|---|---|
| LBN Legal business name | Woodall, Jessica Cornelia |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2019 |
| Last updated | Oct 28th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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