ALEXISA WOODARD - NPI 1144111949 - Student in an Organized Health Care Education/Training Program in Jackson, MS

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Alexisa Woodard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXISA WOODARD (NPI 1144111949) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1144111949

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameALEXISA WOODARD

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-5012

Phone(601) 984-5012

Sole ProprietorNo

Enumeration DateJuly 10, 2025

NPPES CertifiedJuly 10, 2025

✔ NPI 1144111949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2500 N STATE ST, Jackson, MS 39216

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