Individual
MRS. REBECCA L CAUTHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
189 SADDLEBROOK CV, MADISON, MS 39110-6633
(601) 818-0020
Mailing address
189 SADDLEBROOK CV, MADISON, MS 39110-6633
(601) 818-0020
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R901830
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00757226
—
MS
Enumeration date
03/07/2016
Last updated
04/09/2024
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