| Name: | Jennifer Woodard CRNP LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 15 Dec 2023 (a year ago) |
| Date of dissolution: | 06 Aug 2024 |
| Entity Number: | 001-112-115 |
| Register Number: | 001112115 |
| County: | Calhoun |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 29 Trinity WayJacksonville, AL 36265 |
| Registered Office Street Address ZIP Code: | 36265 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043083819 | 2023-11-03 | 2023-11-03 | 29 TRINITY WAY, JACKSONVILLE, AL, 362655813, US | 29 TRINITY WAY, JACKSONVILLE, AL, 362655813, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 256-591-3869 |
Authorized person
| Name | JENNIFER WOODARD |
| Role | FOUNDER |
| Phone | 2565913869 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Woodard, Jennifer | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
