Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jacqueline Nicole Woodcock, PA-C

Individual provider Physician Assistant · NPI 1326399809

Mrs. Jacqueline Nicole Woodcock, PA-C is a Physician Assistant in Durham, North Carolina. Qualified in 2012, 14 years ago. Practices with Animo Sano Psychiatry PLLC, a 47-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
14
Licensed in
SC
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5501 Fortunes Ridge Dr Ste P
Durham, NC 27713-6102
Phone: (919) 391-7202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2714 (SC)

Record details

NPI number1326399809
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2012
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Animo Sano Psychiatry Pllc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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