Individual
ELISHA DOWDY WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1101 S 28TH AVE STE B, HATTIESBURG, MS 39402-2610
(601) 296-2990
(601) 296-2860
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 296-2990
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R873696
MS
363LF0000X
Family Nurse Practitioner
Primary
873696
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02003530
—
MS
01
—
9686623
AETNA
MS
Enumeration date
12/28/2010
Last updated
06/02/2021
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