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Individual

CARLEY DANIELLE MADDOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
969 LAKELAND DR, JACKSON, MS 39216-4699
(601) 200-2000
Mailing address
58 HICKORY LN, MOUNT OLIVE, MS 39119-6119
(601) 946-7024

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
908656
MS

Other

Enumeration date
08/06/2026
Last updated
08/06/2026
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