Mrs Edna Lynn Woodard, FNP-BC | |
165 Dale Street, Red Boiling Springs, TN 37150 | |
(615) 699-3169 | |
(615) 399-3198 |
Full Name | Mrs Edna Lynn Woodard |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 165 Dale Street, Red Boiling Springs, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467483164 | NPI | - | NPPES |
3929631 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APN6522 (Tennessee) | Primary |
Entity Name | 3 Ple O Llpc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508488800 PECOS PAC ID: 1557788460 Enrollment ID: O20200824001761 |
Mailing Address | Practice Location Address |
---|---|
Mrs Edna Lynn Woodard, FNP-BC 120 Market Street, P.o. Box 589, Red Boiling Springs, TN 37150 Ph: (615) 699-3169 | Mrs Edna Lynn Woodard, FNP-BC 165 Dale Street, Red Boiling Springs, TN 37150 Ph: (615) 699-3169 |
Shalena Natasha Bray, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35 Spivey St, Red Boiling Springs, TN 37150 Phone: 615-699-7425 Fax: 615-699-7427 | |
Ms. Roseann Taylor Gray, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 Dale St, Red Boiling Springs, TN 37150 Phone: 615-699-3169 Fax: 615-666-3022 |