Individual
JOAN CRAWFORD SPEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APMHNP-BC
Contact information
Practice address
1818 COLLEGE DRIVE, MERIDIAN, MS 39307-5429
(601) 581-8454
Mailing address
PO BOX 4128, MERIDIAN, MS 39304-4128
(601) 581-8454
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R852226
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00904389
—
MS
Enumeration date
06/20/2012
Last updated
12/16/2013
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