Healthcare Provider Details

I. General information

NPI: 1396459129
Provider Name (Legal Business Name): DANIELLE HAMMOND WOODS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2023
Last Update Date: 01/06/2023
Certification Date: 01/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SILVERCREST DR
NEW ALBANY IN
47150-7800
US

IV. Provider business mailing address

1311 BASSWOOD CT
JEFFERSONVILLE IN
47130-6100
US

V. Phone/Fax

Practice location:
  • Phone: 812-542-6720
  • Fax:
Mailing address:
  • Phone: 502-523-9726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SL0600X
TaxonomyLong-Term Care Clinical Nurse Specialist
License Number28217036A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: