Individual
MR. TORY A. WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
509 N CEDAR AVE, COOKEVILLE, TN 38501-1707
(931) 520-8435
(931) 372-7225
Mailing address
2208 ARBOR POINTE WAY, HERMITAGE, TN 37076-1492
(615) 414-8323
(931) 372-7225
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
162459
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13918
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511205
—
TN
Enumeration date
08/14/2006
Last updated
02/21/2019
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