Individual
TABITHA R WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2863 HIGHWAY 45 BYP, JACKSON, TN 38305-3618
(731) 422-0213
(731) 660-8369
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 425-5752
(731) 422-5743
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22894
TN
Other
Enumeration date
06/14/2017
Last updated
07/31/2017
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