Individual
MRS. DEBORAH JEAN WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
208 COUNTY ROAD 3321, BOONEVILLE, MS 38829-7809
(662) 416-0345
(337) 593-1828
Mailing address
208 COUNTY ROAD 3321, BOONEVILLE, MS 38829-7809
(662) 416-0345
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
MSR59025
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114766
—
MS
Enumeration date
05/25/2006
Last updated
07/17/2013
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