Individual
MISS CASSI CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-2945
Mailing address
217 WILKINS CHAPEL RD, DUCK HILL, MS 38925-9715
(662) 473-6011
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
904769
MS
Other
Enumeration date
07/21/2021
Last updated
07/23/2021
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