Individual
CHARLES TAYLOR KNAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(160) 135-4448
Mailing address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(160) 135-4448
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902968
MS
Other
Enumeration date
11/01/2018
Last updated
03/05/2019
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