Individual
EDWARD ZACHARY WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 968-1700
Mailing address
1408 E PEACE ST, CANTON, MS 39046-4957
(769) 232-9094
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F01240409
MS
Other
Enumeration date
12/13/2023
Last updated
08/23/2024
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