Individual
ANGELA SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP, C
Contact information
Practice address
2969 CURRAN DR N STE 200, JACKSON, MS 39216-4121
(601) 974-5600
(601) 974-5699
Mailing address
1227 N STATE ST STE 101, JACKSON, MS 39202-2002
(601) 355-2485
(601) 353-1463
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R886819
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02503001
—
MS
Enumeration date
10/19/2015
Last updated
04/27/2022
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