Basic Information
| Provider Information | |||||||||
| NPI: | 1487618476 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WOODS | ||||||||
| FirstName: | JANET | ||||||||
| MiddleName: | FOWLER | ||||||||
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| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 930 FRANKLIN ST SE | ||||||||
| Address2: | |||||||||
| City: | HUNTSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 358014312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2565394080 | ||||||||
| FaxNumber: | 2565394099 | ||||||||
| Practice Location | |||||||||
| Address1: | 930 FRANKLIN ST SE | ||||||||
| Address2: | |||||||||
| City: | HUNTSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 358014312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2565394080 | ||||||||
| FaxNumber: | 2565394099 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/14/2006 | ||||||||
| LastUpdateDate: | 09/25/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2100X | 1-029085 | AL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care |
ID Information
| ID | Type | State | Issuer | Description | 112748 | 05 | AL | MEDICAID | 000058831 | 05 | AL | MEDICAID | 112741 | 05 | AL | MEDICAID | 112744 | 05 | AL | MEDICAID | 515-98857 | 01 | AL | BCBS | OTHER | 112739 | 05 | AL | MEDICAID | P00015327 | 01 | RAILROAD MEDICARE | OTHER | 112746 | 05 | AL | MEDICAID | 510-49346 | 01 | AL | BCBS | OTHER | 510-49344 | 01 | AL | BCBS | OTHER | 510-49345 | 01 | AL | BCBS | OTHER | 112742 | 05 | AL | MEDICAID | 510-49347 | 01 | AL | BCBS | OTHER | 515-20862 | 01 | AL | BCBS | OTHER | 515-98856 | 01 | AL | BCBS | OTHER |