Individual
DONNIELLE CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1933 DAFFODIL DR, SOUTHAVEN, MS 38672-9139
(901) 598-3081
Mailing address
1933 DAFFODIL DR, SOUTHAVEN, MS 38672-9139
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28007
TN
363L00000X
Nurse Practitioner
904452
MS
Other
Enumeration date
07/02/2021
Last updated
04/04/2024
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