Individual
MS. KATIE MAE SPANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN PMHNP
Contact information
Practice address
1510 HAWTHORNE PL, CLINTON, MS 39056-3911
(601) 813-5680
Mailing address
200 CAPITOL ST, CLINTON, MS 39056-4026
(601) 925-3205
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
903657
MS
Other
Enumeration date
12/03/2019
Last updated
12/04/2019
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