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Mattie Woodberry
NPI 1366039315 · on the registry since 2020
Practice
- Address
- 6365 I 55 N
Jackson, MS 39213 - Phone
- (601) 718-0021
- Organisation at this address
- Mississippi Cvs Pharmacy Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Registered Nurse
163W00000X
- Licence states on file
- MT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi