Individual
CONSTANCE FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1100 HIGHWAY 16 E, CARTHAGE, MS 39051-4222
(601) 267-1470
(601) 267-1469
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-3255
(901) 227-3591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R885749
MS
Other
Enumeration date
10/15/2015
Last updated
12/23/2024
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