Healthcare Provider Details

I. General information

NPI: 1184127276
Provider Name (Legal Business Name): MARKESHE WOOD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARKESHE ELLISON NP

II. Dates (important events)

Enumeration Date: 03/14/2018
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 FALL CREEK DR
JACKSON TN
38305-1963
US

IV. Provider business mailing address

301 S PERIMETER PARK DR STE 100
NASHVILLE TN
37211-4128
US

V. Phone/Fax

Practice location:
  • Phone: 731-394-5084
  • Fax:
Mailing address:
  • Phone: 415-735-5804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number23574
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number23574
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: