Individual
KATHERINE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1212 NORTHPARK LN NE, BROOKHAVEN, MS 39601
(601) 833-3314
Mailing address
1212 NORTHPARK LN NE, BROOKHAVEN, MS 39601-2180
(601) 833-3314
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R870471
MS
Other
Enumeration date
06/19/2009
Last updated
11/21/2023
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