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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TIFFANY REED TATE-WOODARD, AGNP

Active

MRS. TIFFANY REED TATE-WOODARD, AGNP is a Gerontological Nurse Practitioner healthcare provider located in EAST SAINT LOUIS, Illinois. NPI 1639719230 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · EAST SAINT LOUIS, IL

Registration Details

NPI Number
1639719230
Provider Type
Individual
Gender
Female
NPI Issued
Jan 10, 2020 (6.5494350906384 yrs)
Last Updated
Jan 8, 2026
License
209.026757 (IL)

Practice Information

Address
2420 STATE ST
EAST SAINT LOUIS, IL, 622052321
Browse IL providers · Browse ZIP 62205
Phone
6183188809
Fax
6186154205
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in EAST SAINT LOUIS, IL

Name Credential NPI
TERICA MEEKS NP 1285056713
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.