Individual
CATHRYN ALICIA SALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-4466
(601) 200-3651
Mailing address
PO BOX 23457, JACKSON, MS 39225-3457
(601) 200-4466
(601) 200-3651
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
902785
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01731857
—
MS
01
—
696658
MEDICARE ST DOM
MS
01
—
P02214747
RAILROAD MEDICARE
MS
Enumeration date
07/16/2018
Last updated
04/27/2025
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