Individual
MS. MARIE CRISPIN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN FNP
Contact information
Practice address
1500 EAST WOODROW WILSON DR, MEDICAL SERVICE ROUTING NUMBER 111A, JACKSON, MS 39216-5199
(601) 362-4471
(601) 364-1278
Mailing address
102 ELGIN PLACE, CLINTON, MS 39056-3946
(601) 925-0890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R532606
MS
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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