Individual
CHARLOTTE MACI CARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 MEDICAL CENTER DR, WEST POINT, MS 39773-0428
(662) 495-2355
Mailing address
599 PRESCOTT CARD RD, EUPORA, MS 39744-3609
(662) 295-6234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
900829
MS
363LW0102X
Women's Health Nurse Practitioner
Primary
905866
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104599566
WOMEN'S HEALTH NURSE PRACTITIONER
MS
01
—
905866
NURSE PRACTITIONER
MS
Enumeration date
02/12/2021
Last updated
03/10/2023
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