JORDAN ROBERT WOODSIDE


Address: 160 Stone St, Watertown, NY 13601-3250
Phone: 3157888065

JORDAN ROBERT WOODSIDE (NPI# 1912491374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912491374
Entity Type Individual
Full Name JORDAN ROBERT WOODSIDE
Credential FNP-C
Practice Address 160 Stone St
Watertown
NY 13601-3250
Mailing Address 106 Stone Street
Watertown
NY 13601
Practice Telephone 3157888065
Enumeration Date 2018-06-19
Last Update Date 2018-06-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
343107 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 160 STONE ST
City WATERTOWN
State NY
Zip Code 13601-3250

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407907215 Planned Parenthood of The North Country New York, Inc. Case Management 160 Stone St, Watertown, NY 13601-3250 2007-01-16
1811509276 Lisa Dwello Physician Assistant 160 Stone St, Watertown, NY 13601-3261 2020-08-18
1477163426 Samantha Jo Furman Family Medicine 160 Stone St, Watertown, NY 13601-3250 2020-08-05
1124636113 Shellie A Green Nurse Practitioner 160 Stone St, Watertown, NY 13601-3250 2020-07-16
1417470857 Jordan Garry Nurse Practitioner 160 Stone St, Watertown, NY 13601 2017-07-18
1740632033 Stephanie Boswell-davies Midwife 160 Stone St, Watertown, NY 13601-3250 2016-07-11
1992157291 Gina Brandolino Nurse Practitioner 160 Stone St, Watertown, NY 13601-3250 2016-07-11
1326426487 Abbey Jane Darling Physician Assistant 160 Stone St, Watertown, NY 13601-3261 2015-05-09
1477961217 Shae Johnston Nurse Practitioner 160 Stone St, Watertown, NY 13601-3250 2014-07-24
1841631686 Evelyn Nichole King Nurse Practitioner 160 Stone St, Watertown, NY 13601-3250 2013-07-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801414156 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 2020-07-13
1083231377 Katherine Anne Cahill Counselor 22679 Duffy Road, Watertown, NY 13601 2020-07-02
1851855431 Hanna Kearney Physical Therapist 20053 Summit View Blvd Ste 2, Watertown, NY 13601 2019-01-28
1578039905 North Country Counseling Services LLC Counselor 210 Court St. Suite 4, Watertown, NY 13601 2018-10-24
1073004388 Megan Anna O'brien Counselor 221 S Rutland Street, Watertown, NY 13601 2018-05-22
1558860536 Kimberly Lynne Amelio Specialist 24850 Hinds Rd, Watertown, NY 13601 2018-02-06
1952840050 Alberto Gonzalez Social Worker 211 Jb Wise Plaza, Watertown, NY 13601 2017-02-22
1073967386 Amanda Pisarski Licensed Practical Nurse 26713 Nys Rte 12, Watertown, NY 13601 2016-04-22
1396137709 Daniel Ernest Morgan Neuromusculoskeletal Medicine & OMM 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 2015-02-21
1568868131 Megan E. Zamora Dental Hygienist 14652-b Cedar Way, Watertown, NY 13601 2014-11-10
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1043810013 Alexa L Carolan Nurse Practitioner 24 Penny Ln, Watertown, CT 06795-1734 2020-10-29
1104433820 Jennifer Blaze Laclair Nurse Practitioner 26561 State Route 3, Watertown, NY 13601-1749 2020-09-27
1144839549 Kristin Nicole Hill Nurse Practitioner 2813 Bell Rd, Watertown, TN 37184-4716 2020-07-31
1811505738 Ashley Swan Nurse Practitioner 1571 Washington St Ste 107, Watertown, NY 13601-9304 2020-07-16
1518591619 Kelly A Blanchette Nurse Practitioner 204 Arsenal St Apt 489, Watertown, MA 02472-3092 2020-02-27
1215586854 Ashley Rydquist Nurse Practitioner 926 N 4th St, Watertown, WI 53098-2915 2019-09-06
1184133738 Melissa Mcintyre Nurse Practitioner 70 Fieldwood Rd, Watertown, CT 06795-3023 2017-09-27
1346783669 Nagma Kc Nurse Practitioner 263 School St, Watertown, MA 02472-1412 2016-11-18
1477007730 Neangkanika Chea Nurse Practitioner 2 Repton Place, Apt 2204, Watertown, MA 02472 2016-08-04
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Competitor

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City WATERTOWN
Zip Code 13601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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