Individual
WILLENA CAUSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 N FRONT ST, RICHTON, MS 39476-2204
(769) 369-0010
Mailing address
153 SCENIC DR, HATTIESBURG, MS 39401-8403
(601) 466-8509
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
907384
MS
Other
Enumeration date
04/18/2025
Last updated
05/01/2025
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