Individual
MRS. CARI THAWN MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2274 HIGHWAY 43 S, PICAYUNE, MS 39466-8141
(601) 798-3989
(601) 798-3964
Mailing address
2274 HIGHWAY 43 S, PICAYUNE, MS 39466-8141
(601) 798-3989
(601) 798-3964
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP03549
LA
363LF0000X
Family Nurse Practitioner
Primary
R863177
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09226703
—
MS
01
—
841721808
MS PHYSICIAN CARE NETWORK
MS
Enumeration date
08/27/2007
Last updated
11/25/2013
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