Individual
MRS. CHRISTY LE ANNE EGBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
122 AIRWAYS PL, SOUTHAVEN, MS 38671-5872
(662) 349-9990
(662) 349-2620
Mailing address
122 AIRWAYS PL, SOUTHAVEN, MS 38671-5872
(662) 349-9990
(662) 349-2620
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN18419
TN
363L00000X
Nurse Practitioner
Primary
R860346
MS
Other
Enumeration date
02/04/2014
Last updated
05/13/2015
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