Individual provider · Type 1 NPI

Miracle R. Woodard

Family Nurse Practitioner · Gautier, MS

NPI number 1922695964 Active

Practice location

3265 Highway 90
Gautier, MS 39553-5121

Mailing address

PO Box 7589
Diberville, MS 39540-7481

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X907198 (MS)
Family Nurse Practitioner 363LF0000XTELE337134 (AZ)
Family Nurse Practitioner 363LF0000XARNP.AP.70095923-NP (WA)
Family Nurse Practitioner 363LF0000X1227864 (TX)
Family Nurse Practitioner 363LF0000X16329 (CT)
Nurse Practitioner 363L00000X101.0138442TELE (VT)
Family Nurse Practitioner 363LF0000X245007 (LA)
Family Nurse Practitioner 363LF0000XTPAN4083 (FL)
Family Nurse Practitioner 363LF0000X40607 (TN)
Registered Nurse 163W00000X913842 (MS)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1922695964

Miracle R. Woodard's National Provider Identifier is 1922695964, issued on Dec 23, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gautier, MS. The record was last updated on Sep 22, 2026.