Individual
ALYSSA CAMERON WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2750 N CHURCH AVE, LOUISVILLE, MS 39339-2054
(662) 446-9012
(662) 446-9432
Mailing address
2750 N CHURCH AVE, LOUISVILLE, MS 39339-2054
(662) 446-9012
(662) 446-9432
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R866227
MS
Other
Enumeration date
11/10/2014
Last updated
06/10/2020
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