Individual
CHRISTOPHER CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C, PMHNP-BC
Contact information
Practice address
1832 HOSPITAL DR, JACKSON, MS 39204-3410
(601) 371-8883
Mailing address
PO BOX 59147, JACKSON, MS 39284-9147
(601) 371-8883
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
880514
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
880514
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04372879
—
MS
Enumeration date
01/21/2014
Last updated
09/02/2022
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