Individual
DESTINEE WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
5627 GETWELL ROAD, BUILDING C, SUITE 2, SOUTHAVEN, MS 38672
(662) 510-2192
(662) 470-6153
Mailing address
5627 GETWELL ROAD, BUILDING C, SUITE 2, SOUTHAVEN, MS 38672
(662) 510-2192
(662) 470-6153
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
902516
MS
Other
Enumeration date
03/15/2022
Last updated
10/22/2025
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