Individual
RAQUEL WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(601) 426-4000
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 425-7550
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
915754
MS
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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