Individual
MADISON LEIGH CARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5681 MS-363, MANTACHIE, MS 38855
(662) 282-4226
Mailing address
100 MICHELLE CV, MOOREVILLE, MS 38857-2005
(662) 610-7976
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
906226
MS
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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