Individual
CHARLA WURSTER KNAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
315 JOHN R JUNKIN DR, NATCHEZ, MS 39120-3823
(601) 445-1715
(601) 445-6720
Mailing address
PO BOX 321359, FLOWOOD, MS 39232-1359
(601) 936-1395
(601) 933-6596
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
785451
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01926528
—
MS
05
—
1882372
—
LA
Enumeration date
01/13/2009
Last updated
03/04/2021
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