# CHILDREN'S ACCELERATION PROGRAM, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093865933
- **Authorized official:** MRS. DORIS MITCHELL NP (DIRECTOR)
- **Authorized official phone:** (662) 627-2741

## Contact information

- **Practice address:** 112 ISSAQUENA AVE, CLARKSDALE, MS 38614-4315
- **Practice address phone:** (662) 627-2741
- **Mailing address:** PO BOX 1382, CLEVELAND, MS 38732-1382
- **Mailing address phone:** (662) 627-2741
- **Mailing address fax:** (662) 846-6306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | R125740 | MS | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00009266 | — | MS |
| 05 | — | 00020541 | — | MS |