Individual
MRS. NATASHA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
1008 BIG CREEK RD, JACKSON, MS 39212-9654
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R866101
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08623258
—
MS
Enumeration date
09/04/2013
Last updated
02/07/2014
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