Individual
MS. ANTWANETTE LAKEISHA KEYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
221 W PARK AVE, DREW, MS 38737-3345
(662) 588-9618
Mailing address
221 W PARK AVE, DREW, MS 38737-3345
(662) 588-9618
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
235216
TN
363L00000X
Nurse Practitioner
33484
TN
363L00000X
Nurse Practitioner
905875
MS
Other
Enumeration date
01/30/2023
Last updated
08/10/2023
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