Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Wood Pediatric Nurse Practitioner PLLC

Organization Pediatric Nurse Practitioner · NPI 1114578416

Jessica Wood Pediatric Nurse Practitioner PLLC is a Pediatric Nurse Practitioner 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.

See every abbreviation used in this directory →

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

Other providers in Patchogue