IndividualActive
Jennifer Woodall, FNP-C
NPI 1093271124 · Nurse Practitioner · Gray, GA
Provider details
- NPI number
- 1093271124
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- RN255139 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
147 James St
Gray, GA 31032-6358
Phone: (478) 405-0045
Fax: (478) 405-0054
Approximate (ZIP-level) locationGet directions
Mailing address
3448 Vineville Ave
Macon, GA 31204-1867
Additional practice locations (1)
- 3448 Vineville AveMacon, GA 31204-1867Phone: (478) 405-0045Fax: (478) 405-0054
Registry dates
- Enumerated
- 2019-02-13
- Last updated
- 2025-03-28
- Certified
- 2025-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.