MATTIE WOODBERRY
NPI 1366039315
Registered Nurse in Jackson, MS

Active since December 23, 2020
6365 I 55 N, JACKSON, MS 39213(601) 718-0021 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mattie Woodberry NPPES

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

MATTIE WOODBERRY (NPI 1366039315) is an individual registered nurse in Jackson, Mississippi, licensed in Montana (880499) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1366039315
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameMATTIE WOODBERRY
Location Address6365 I 55 NJackson, MS 39213-9742
Mailing Address6365 I 55 NJackson, MS 39213-9742 · (601) 718-0021
Sole ProprietorNo
Enumeration DateDecember 23, 2020
NPPES CertifiedDecember 23, 2020
NPI 1366039315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in MT · 880499
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
6365 I 55 N, Jackson, MS 39213

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
6365 I 55 N
JACKSON, MS 39213
Pharmacist
6365 I 55 N, T-0754
JACKSON, MS 39213
Pharmacist
6365 I 55 N
JACKSON, MS 39213
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
6365 I 55 N
JACKSON, MS 39213
Pharmacy
6365 I 55 N
JACKSON, MS 39213
Pharmacist
6365 I 55 N
JACKSON, MS 39213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mattie Woodberry's NPI number?

The NPI number for Mattie Woodberry is 1366039315. It was assigned to this individual provider in the NPPES registry on December 23, 2020.

Where is Mattie Woodberry located?

Mattie Woodberry practices at 6365 I 55 N, Jackson, MS 39213. The listed phone number is (601) 718-0021.

What is Mattie Woodberry's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Mattie Woodberry was last updated on December 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.