Provider Demographics
NPI:1114281714
Name:WOODS, JOANNE GEORGIANA (RN)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:GEORGIANA
Last Name:WOODS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:864 RASLEY RD
Mailing Address - Street 2:
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32168-5219
Mailing Address - Country:US
Mailing Address - Phone:386-428-6143
Mailing Address - Fax:
Practice Address - Street 1:864 RASLEY RD
Practice Address - Street 2:
Practice Address - City:NEW SMYRNA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32168-5219
Practice Address - Country:US
Practice Address - Phone:386-428-6143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-27
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN796992163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse