Provider Demographics
NPI:1174855381
Name:WOODS, JOHNNITA (MSN-FNP-C)
Entity type:Individual
Prefix:
First Name:JOHNNITA
Middle Name:
Last Name:WOODS
Suffix:
Gender:F
Credentials:MSN-FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:356 BLOOMFIELD AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-3625
Mailing Address - Country:US
Mailing Address - Phone:973-851-1501
Mailing Address - Fax:
Practice Address - Street 1:356 BLOOMFIELD AVE STE 7
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-3625
Practice Address - Country:US
Practice Address - Phone:973-851-1501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-12
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF358168363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner