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NPI Code Detail

MEDICARE: MARY HELEN WOOD APN

MEDICARE: MARY HELEN WOOD APN
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN0000005107TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730139569
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY HELEN WOOD APN
Provider Business Mailing Address
First Line : PO BOX 30
Second Line :
City : PARIS
State : TN
Zip : 38242-0030
Country : US
Telephone Number : 731-642-0521
Fax Number : 731-642-1010
Provider Business Practice Location Address
First Line : 408 VIRGINIA ST
Second Line :
City : PARIS
State : TN
Zip : 38242-5341
Country : US
Telephone Number : 731-642-0521
Fax Number : 731-642-1010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 07/08/2007

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Directions to “ MARY HELEN WOOD APN” Practice Location

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