Individual
SHANNON ROSE WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
401 SOUTHCREST CIR, SUITE 212, SOUTHAVEN, MS 38671-6726
(662) 349-0488
(661) 349-5974
Mailing address
3405 JOFFRE AVE, MEMPHIS, TN 38111-4556
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
18577
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
A810578
MS
Other
Enumeration date
04/02/2014
Last updated
01/17/2025
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