Individual
ELIZABETH MARLYNN WOOLDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
900 E COMMERCE ST, HERNANDO, MS 38632-2433
(662) 429-9111
(662) 429-6111
Mailing address
PO BOX 326, HERNANDO, MS 38632-0326
(662) 429-9111
(662) 429-6111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901799
MS
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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