Individual
MRS. AYANA DENISE RED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
557 GRANTS FERRY RD, BRANDON, MS 39047-9023
(601) 665-4162
(855) 830-3484
Mailing address
30 W MONROE ST STE 1200, CHICAGO, IL 60603-2420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
872908
MS
363LF0000X
Family Nurse Practitioner
R872908
MS
Other
Enumeration date
02/10/2011
Last updated
03/20/2023
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