Healthcare Provider Details

I. General information

NPI: 1093607368
Provider Name (Legal Business Name): ZIPPORAH WOODS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2025
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 W HIGHWAY 98
PENSACOLA FL
32512-0003
US

IV. Provider business mailing address

318 HILLCREST ST
SELMER TN
38375-1260
US

V. Phone/Fax

Practice location:
  • Phone: 901-875-6197
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number37555
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: