Individual
MRS. KRISTIE CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
971 LAKELAND DR, SUITE 557, JACKSON, MS 39216-4643
(601) 200-4560
(601) 326-4632
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R881587
MS
Other
Enumeration date
06/16/2014
Last updated
06/17/2015
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