MEDICARE: ALYSSA BREANNE WOODIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	39918	TN

General Provider Information

NPI Number	:	1780571307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA BREANNE WOODIN

Provider Business Mailing Address
First Line	:	416 HUNTINGTON RIDGE DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-5992
Country	:	US
Telephone Number	:	810-515-0912
Fax Number	:

Provider Business Practice Location Address
First Line	:	322 22ND AVE N STE 400
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1870
Country	:	US
Telephone Number	:	615-320-5030
Fax Number	:	615-320-1225

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2025
Last Update Date	:	03/10/2026

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