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Individual

MRS. WHITNEY WHITESIDE ABRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
670 LEIGH DR, COLUMBUS, MS 39705-3014
(662) 328-1012
(662) 328-1507
Mailing address
102 HOLLY HOCK LN, STARKVILLE, MS 39759-2467
(662) 803-6232

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901343
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008577555
MS
Enumeration date
10/29/2015
Last updated
10/07/2022
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