Individual
CASEY PITTMAN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
984 WINGFIELD RD, GLEN ALLAN, MS 38744-3874
(662) 822-4419
Mailing address
984 WINGFIELD RD, GLEN ALLAN, MS 38744
(662) 822-4419
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
904417
MS
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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