Individual
MRS. GAYDON NOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.N PMHNP-BC
Contact information
Practice address
1488 HWY 487 EAST, SEBASTOPOL, MS 39359-0150
(601) 625-7403
(601) 625-7404
Mailing address
PO BOX 142, SEBASTOPOL, MS 39359-0142
(601) 625-7140
(601) 625-7199
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
902318
MS
Other
Enumeration date
09/15/2017
Last updated
11/29/2018
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