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

Mary Jennifer Wootten

Individual provider Driver · NPI 1063148948

Mary Jennifer Wootten is a Driver in Medina, Ohio. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

4989 Shady Brooke Run
Medina, OH 44256-8282
Phone: (440) 351-1198
Show map & directions

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

Specialties & licences

Driver (primary) Taxonomy 172A00000X

Record details

NPI number1063148948
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 25, 2022
Last updated in NPPESJuly 25, 2022
Certification dateJuly 25, 2022

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