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Individual

DEANNA N SHELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.P.N.

Contact information

Practice address
4250 BETHEL RD, OLIVE BRANCH, MS 38654-8737
(662) 932-9111
Mailing address
4250 BETHEL RD, OLIVE BRANCH, MS 38654-8737
(662) 932-9111

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14942
TN
363LF0000X
Family Nurse Practitioner
810514
MS

Other

Enumeration date
04/26/2010
Last updated
05/11/2016
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