Woodard, Tory A.
Woodard, Tory A. is an sole proprietor health care provider with primary practice located at 509 N Cedar Ave , Cookeville TN 38501-1707. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Woodard, Tory A. can be contacted via phone (931) 520-8435.Contact Information
Primary practice address
509 N Cedar Ave
Cookeville TN 38501-1707
Phone: (931) 520-8435
Fax: (931) 372-7225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 162459 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 13918 | Tennessee |
Profile Details
| NPI number | 1194738153 |
|---|---|
| LBN Legal business name | Woodard, Tory A. |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Feb 21st, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194738153 | NPPES |
| Tennessee | MEDICAID | 1511205 |
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