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Individual

CARRIE JANOUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
810 E SUNFLOWER RD, SUITE 100E, CLEVELAND, MS 38732-2800
(662) 846-6034
(662) 846-6260
Mailing address
810 E SUNFLOWER RD, SUITE 100E, CLEVELAND, MS 38732-2800
(662) 846-6034
(662) 846-6260

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R860588
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01773773
MS
Enumeration date
09/27/2006
Last updated
04/16/2014
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