Individual
GWENEVERE CHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
340 DESOTO AVENUE EXT, CLARKSDALE, MS 38614-2814
(662) 741-2151
(662) 741-2700
Mailing address
400 SECURITY SQ, GULFPORT, MS 39507-1932
(662) 741-2151
(662) 741-2700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R637211
MS
Other
Enumeration date
05/13/2008
Last updated
06/05/2014
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