Individual
MRS. EDNA LYNN WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
165 DALE STREET, RED BOILING SPRINGS, TN 37150
(615) 699-3169
(615) 399-3198
Mailing address
120 MARKET STREET, P.O. BOX 589, RED BOILING SPRINGS, TN 37150
(615) 699-3169
(615) 399-3198
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN6522
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3929631
—
TN
Enumeration date
07/05/2006
Last updated
03/06/2012
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