Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Wound Care |
163WW0000X | |||
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1922968478 |
| LBN Legal business name | WOUND RX MOBILE LLC |
| Authorized official | VANESSA JACKSON - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/17/2025 |
| Last updated | 11/17/2025 - About 7 months ago |
| Identifiers | n/a |
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WOUND RX MOBILE LLC
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