Individual
CHANDRA PATRICE HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
619 S STATE ST, CLARKSDALE, MS 38614-6319
(662) 966-1012
Mailing address
619 S STATE ST, CLARKSDALE, MS 38614-6319
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904493
MS
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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