Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tina Marie Woodrome-Nethery, APRN

Individual provider Nurse Practitioner · NPI 1962759274

Tina Marie Woodrome-Nethery, APRN is a Nurse Practitioner in Clarksville, Indiana. Qualified in 2012, 14 years ago. Practices with Wall Street Medical Group Inpatient Services LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
14
Licensed in
KY
In the registry since
2012
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

2205 Greentree N
Clarksville, IN 47129
Phone: (812) 283-4441
Fax: (812) 288-2605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1105062 (KY)

Record details

NPI number1962759274
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedAugust 7, 2012
Last updated in NPPESJune 4, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Wall Street Medical Group Inpatient Services Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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