Shannon Rose Woods, N.P.
Nurse Practitioner, Gerontology in Southaven, MS. Individual provider (NPI-1).
NPI number1487072864
StatusActive
Last updated in NPPESJan 17, 2025
Details
- NPI
- 1487072864
- Entity type
- Individual (NPI-1)
- Name
- Shannon Rose Woods
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2014
- Certification date
- Jan 17, 2025
- Last updated
- Jan 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | A810578 | MS | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | 18577 | TN |
Other names
- Shannon Rose Lopez (Former Name)
Practice location
401 Southcrest CirSuite 212
Southaven, MS 38671-6726
Phone 662-349-0488 · Fax 661-349-5974
Mailing address
3405 Joffre AveMemphis, TN 38111-4556
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