Individual provider · Type 1 NPI

Mattie Woodberry

Registered Nurse · Jackson, MS

NPI number 1366039315 Active

Practice location

6365 I 55 N
Jackson, MS 39213-9742

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X880499 (MT)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1366039315

Mattie Woodberry's National Provider Identifier is 1366039315, issued on Dec 23, 2020. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Jackson, MS. The record was last updated on Dec 23, 2020.