SearchIllinois363LG0600X

Tiffany Tate-Woodard, AGNP

NPI 1639719230 · on the registry since 2020

Practice

Address
2420 State St
East Saint Louis, IL 62205
Phone
(618) 318-8809
Fax
(618) 615-4205
Organisation at this address
Osh-Il Physicians Group Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
363LG0600X
363LG0600X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-08

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 Illinois