Individual provider · Type 1 NPI

Shannon Rose Woods, N.P.

Gerontology Nurse Practitioner · Southaven, MS

NPI number 1487072864 Active

Practice location

401 Southcrest Cir, Suite 212
Southaven, MS 38671-6726

Fax (661) 349-5974

Mailing address

3405 Joffre Ave
Memphis, TN 38111-4556

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X18577 (TN)
Gerontology Nurse Practitioner Primary 363LG0600XA810578 (MS)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1487072864

Shannon Rose Woods, N.P.'s National Provider Identifier is 1487072864, issued on Apr 2, 2014. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Southaven, MS. The record was last updated on Jan 17, 2025.