Individual
MRS. KATIE JENKINS MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1626 HIGHWAY 30 E, OXFORD, MS 38655
(662) 371-1326
(662) 371-1325
Mailing address
705 SISK AVE STE 105, OXFORD, MS 38655-3413
(662) 371-1326
(662) 371-1325
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-00412
MS
363A00000X
Physician Assistant
Primary
PA00412
MS
Other
Enumeration date
02/25/2019
Last updated
09/20/2023
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