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Individual

MRS. SANDRA C DURRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
300 OXFORD ROAD, NEW ALBANY, MS 38652
(662) 534-8166
(662) 534-8132
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-8591

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R803937
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00122524
MS
Enumeration date
12/22/2005
Last updated
08/31/2020
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