Jaclyn Marie Wood
Emergency Physician Emergency Medical Services
115 Mall Dr
Hanford
, California 93230-5786
Jaclyn Marie Wood
Emergency Physician Emergency Medical Services
115 Mall Dr
Hanford
, California 93230-5786
(724) 433-5134
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About
Features
Specialties
- Emergency Physician
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Jaclyn Marie Wood
- 944 W Windsor Dr
- Hanford, CA
- Zip : 93230-6792
- Phone : (724) 433-5134
Second Address
- Jaclyn Marie Wood
- 115 Mall Dr
- Hanford, CA
- Zip : 93230-5786
- Phone : (559) 537-0550
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | A139450 | CA |
| N | 207PE0004X | Emergency Medical Services | 14772 | NV |
National Provider Identifier
| NPI | 1063649523 |
|---|---|
| Provider Name | Jaclyn Marie Wood |
| First Address | Hanford, CA 93230-6792 |
| Second Address | Hanford, CA 93230-5786 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2009 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.