Individual
KRISTEN DEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1710 OLD FANNIN RD, FLOWOOD, MS 39232-9004
(601) 487-9191
(601) 487-9192
Mailing address
1710 OLD FANNIN RD, FLOWOOD, MS 39232-9004
(601) 487-9191
(601) 487-9192
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903396
MS
Other
Enumeration date
09/10/2019
Last updated
02/16/2022
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