Individual
CAROLYN N EDWARDS-NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1109 JONES ST, KENNETT, MO 63857
(573) 888-5925
Mailing address
1109 JONES ST, KENNETT, MO 63857-3824
(573) 888-5925
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
058934
MO
Other
Enumeration date
12/01/2015
Last updated
05/09/2019
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