Miracle Woodard

NPI 1922695964 · on the registry since 2020 · sole proprietor

Practice

Address: 3265 Highway 90
Gautier, MS 39553
Phone: (228) 366-9136
Organisation at this address: Fpm Holdings Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Also registered as: 363LF0000X
363LF0000X
363LF0000X
363LF0000X
163W00000X
Licence states on file: MS, TX, CT, FL, TN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-03-16

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