Individual
TAKENYA SINGLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 368-4089
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
901359
MS
363LF0000X
Family Nurse Practitioner
Primary
901359
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
NON-SPECIFIC
—
Enumeration date
04/13/2016
Last updated
06/15/2021
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