Individual
KATIE PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
120 STONE CREEK BLVD, FLOWOOD, MS 39232-8205
(601) 420-2040
Mailing address
PO BOX 649113, DALLAS, TX 75264-9113
(855) 343-5763
(855) 343-5763
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
907471
MS
Other
Enumeration date
06/02/2025
Last updated
06/25/2025
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