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Individual

MRS. CARLA DONNELL PENTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2274 HIGHWAY 43 S, PICAYUNE, MS 39466-8141
(601) 798-3989
(601) 798-3964
Mailing address
2274 HIGHWAY 43 S, PICAYUNE, MS 39466-8141
(601) 798-3989
(601) 798-3964

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R655538
MS

Other

Enumeration date
01/30/2010
Last updated
12/11/2014
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