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Individual

SANDRA KAY DAVIS-YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1254 GREENWAY ST, GREENVILLE, MS 38701-6439
(662) 822-4012
Mailing address
1254 GREENWAY ST, GREENVILLE, MS 38701-6439
(662) 822-4012

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
860243
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26781
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
903637
MS

Other

Enumeration date
01/10/2020
Last updated
01/10/2020
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