Individual
HEATHER WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 AVENUE G, KENTWOOD, LA 70444-2639
(601) 248-1218
Mailing address
1054 HAWTHORNE DR, MCCOMB, MS 39648-9551
(601) 248-1218
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
905009
MS
Other
Enumeration date
12/07/2021
Last updated
07/21/2022
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