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

Jennifer Kaitlyn Woodell

Individual provider Family Nurse Practitioner · NPI 1639795891

Jennifer Kaitlyn Woodell is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2020, 6 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
6
Licensed in
NC, SC
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

10810 Mallard Creek Rd
Charlotte, NC 28262-9786
Phone: (704) 510-8000
Fax: (704) 510-8006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 515 River Crossing Dr Ste 180, Fort Mill, SC 29715-7901 — (803) 547-7541

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5014414 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5014414 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 24755 (SC)

Record details

NPI number1639795891
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 23, 2020
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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