Individual
TABITHA WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
727 E COURT ST, PARIS, IL 61944-2460
(217) 465-8411
(217) 463-3184
Mailing address
727 E COURT ST, PARIS, IL 61944-2460
(217) 465-8411
(217) 463-3184
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28192883A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
28192883A
IN
Other
Enumeration date
06/26/2019
Last updated
02/20/2023
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