# CHILDREN'S ACCELERATION PROGRAM, INC.

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

## Provider details

- **NPI number:** 1912032830
- **Authorized official:** DORIS MITCHELL N.P. (DIRECTOR)
- **Authorized official phone:** (662) 846-6306

## Contact information

- **Practice address:** 216 N CHRISMAN AVE, CLEVELAND, MS 38732-2730
- **Practice address phone:** (662) 846-6306
- **Practice address fax:** (662) 846-9069
- **Mailing address:** PO BOX 1382, CLEVELAND, MS 38732-1382
- **Mailing address phone:** (662) 846-6306
- **Mailing address fax:** (662) 846-9069

## Taxonomy

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

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 08/22/2020

## Other identifiers

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