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Individual

MRS. CRISTIE WOODWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2151 CENTURY LN, JOHNSON CITY, TN 37604-4469
(423) 926-2500
(423) 926-5999
Mailing address
PO BOX 70403, JOHNSON CITY, TN 37614-1703
(423) 439-4515
(423) 439-4060

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000018037
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APN18037
ST LIC
TN
01
RN170311
ST LIC
TN
Enumeration date
12/09/2013
Last updated
09/26/2016
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