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Individual

CHRISTINA MARIE WHITTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 968-1000
Mailing address
514 MARSHA AVE, MENDENHALL, MS 39114-3031
(601) 374-0292

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905639
MS

Other

Enumeration date
02/17/2023
Last updated
02/17/2023
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