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Addison Woodall Addison Woodall

Student in an Organized Health Care Education/Training Program in Johnson City, TN. Individual provider (NPI-1).

NPI number1619873619
StatusActive
Last updated in NPPESOct 16, 2026

Details

NPI
1619873619
Entity type
Individual (NPI-1)
Name
Addison Woodall Addison Woodall
Sex
Female
Sole proprietor
No
Enumeration date
Oct 16, 2026
Certification date
Oct 16, 2026
Last updated
Oct 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–TNYes

Practice location

Po Box 70414
Johnson City, TN 37614-1704

Phone 423-439-6338

Mailing address

Po Box 70414
Johnson City, TN 37614-1704

Phone 423-439-6338

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