Individual
MRS. JENNIFER EDINGTON WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
967 REGIONAL CENTER DR, OXFORD, MS 38655-3551
(662) 513-8507
(662) 234-1699
Mailing address
365 COUNTY ROAD 489, CALHOUN CITY, MS 38916-9676
(662) 312-2905
(662) 234-1699
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R862362
MS
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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