Individual
DANIEL CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
618 PEGRAM DR, TUPELO, MS 38801-6322
(662) 844-6513
Mailing address
65 HIGHWAY 364, BOONEVILLE, MS 38829-8602
(662) 643-8041
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
906320
MS
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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