Provider Demographics
NPI:1881952430
Name:WOODS, JEAN HAMPTON (RNPMHCNS-BC)
Entity type:Individual
Prefix:DR
First Name:JEAN
Middle Name:HAMPTON
Last Name:WOODS
Suffix:
Gender:F
Credentials:RNPMHCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 ARBORETUM RD
Mailing Address - Street 2:
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-2109
Mailing Address - Country:US
Mailing Address - Phone:267-735-8374
Mailing Address - Fax:215-576-1039
Practice Address - Street 1:1013 ARBORETUM RD
Practice Address - Street 2:
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-2109
Practice Address - Country:US
Practice Address - Phone:267-735-8374
Practice Address - Fax:215-576-1039
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
PARN122973L364SP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health