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1073092185
AMANDA NICOLA JACKSON WOODALL
CORDOVA, TN
NPI
1073092185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN 197904)
Enumeration Date
2018-08-09
Last Update Date
2018-08-09
Business Address
AMANDA NICOLA JACKSON WOODALL PMHNP-BC
8130 COUNTRY VILLAGE DR STE 102
CORDOVA, TN 38016-2087
Phone number: 901-308-2915
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Mailing Address
AMANDA NICOLA JACKSON WOODALL PMHNP-BC
58 TIMBER CREEK DR
CORDOVA, TN 38018-4233
Phone number: 901-566-1002
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