Provider Demographics
NPI:1891907820
Name:WOODS, JOANNE MARGARET (MSN, RN, NP-C)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:MARGARET
Last Name:WOODS
Suffix:
Gender:F
Credentials:MSN, RN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10508 RAYBURN WAY
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76708-5694
Mailing Address - Country:US
Mailing Address - Phone:254-836-8123
Mailing Address - Fax:
Practice Address - Street 1:10508 RAYBURN WAY
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76708-5694
Practice Address - Country:US
Practice Address - Phone:254-836-8123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX442162363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily