Provider Demographics
NPI:1942185509
Name:WOODS, JENNIFER C (BS)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:C
Last Name:WOODS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7541 S MINGO RD APT 4119
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-3375
Mailing Address - Country:US
Mailing Address - Phone:334-546-5483
Mailing Address - Fax:
Practice Address - Street 1:7541 S MINGO RD APT 4119
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-3375
Practice Address - Country:US
Practice Address - Phone:334-546-5483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator