Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jessica Wood Pediatric Nurse Practitioner PLLC

Organization Pediatric Nurse Practitioner · NPI 1114578416

Jessica Wood Pediatric Nurse Practitioner PLLC provides Pediatric Nurse Practitioner services in Patchogue, New York. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

122 W Roe Blvd
Patchogue, NY 11772-2569
Phone: (631) 260-1314
Fax: (631) 629-6762
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X

Record details

NPI number1114578416
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Wood — Nurse Practitioner · (631) 275-5545
NPI enumeratedSeptember 27, 2019
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025
Mailing address14 Boisenberry Ln, Center Moriches, NY 11934-1416

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