Individual
CHELSEY E WINDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3920 PROMENADE PKWY STE A, DIBERVILLE, MS 39540-5368
(228) 456-0173
Mailing address
PO BOX 321359, FLOWOOD, MS 39232-1359
(601) 936-1395
(601) 933-6596
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R879603
MS
Other
Enumeration date
01/13/2012
Last updated
09/08/2020
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