Individual
KATIE MELIA GANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1002 E MADISON ST, SUITE 2, HOUSTON, MS 38851-2428
(662) 456-4277
(662) 456-9589
Mailing address
1002 E MADISON ST, SUITE 2, HOUSTON, MS 38851-2428
(662) 456-4277
(662) 456-9589
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R872242
MS
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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