Individual
NATALIE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3444 WISCONSIN AVE, VICKSBURG, MS 39180-5331
(601) 638-0031
Mailing address
3444 WISCONSIN AVE, VICKSBURG, MS 39180-5331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R893311
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
906769
MS
Other
Enumeration date
09/19/2014
Last updated
07/17/2024
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