Individual
MRS. JANE DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
201 INDEPENDENCE, COLUMBUS AFB, MS 39710-5300
(662) 434-2125
Mailing address
4209 ARKANSAS AVE, COLUMBUS, MS 39705-7500
(662) 434-0206
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
518408
TX
Other
Enumeration date
01/05/2006
Last updated
07/08/2007
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