Individual
DEANNA L SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5062 RAYMOND AVE, VERONA, MS 38879
(662) 566-5593
(662) 566-4419
Mailing address
PO BOX 429, VERONA, MS 38879-0429
(662) 566-5593
(662) 566-4419
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R865623
MS
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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