Provider Demographics
NPI:1932797438
Name:WOODS, TIERRIA T (CNA)
Entity type:Individual
Prefix:
First Name:TIERRIA
Middle Name:T
Last Name:WOODS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:TIERRIA
Other - Middle Name:T
Other - Last Name:WOODS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNA
Mailing Address - Street 1:7019 WOODLAKE DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-8691
Mailing Address - Country:US
Mailing Address - Phone:901-238-1016
Mailing Address - Fax:
Practice Address - Street 1:7019 WOODLAKE DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-8691
Practice Address - Country:US
Practice Address - Phone:901-238-1016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-10
Last Update Date:2021-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health