Individual
ANGELA DENISE DEARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
811 N 2ND AVE, LAUREL, MS 39440-3561
(601) 466-9921
Mailing address
811 N 2ND AVE, LAUREL, MS 39440-3561
(601) 466-9921
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904408
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/25/2020
Last updated
06/30/2022
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