Individual
MRS. HEATHER MARIE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
510 HIGHWAY 76, WHITE HOUSE, TN 37188-9203
(615) 581-5089
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP0000025035
TN
363LF0000X
Family Nurse Practitioner
Primary
25035
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000025035
TN APRN LICENSE
TN
01
—
3015174
KENTUCKY APRN LICENSE
KY
Enumeration date
03/24/2019
Last updated
10/30/2020
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