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Individual

TAMMY SMITH WOODS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5959 FORT CAROLINE RD APT 1702, JACKSONVILLE, FL 32277-1842
(904) 322-4351
Mailing address
5959 FORT CAROLINE RD APT 1702, JACKSONVILLE, FL 32277-1842
(904) 233-0394

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5183210
FL
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency
372600000X
Adult Companion

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5183210
LPN
FL
Enumeration date
03/22/2019
Last updated
11/13/2021
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