Individual
SANDRA R CHRISTMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1500 E WOODROW WILSON DRIVE, JACKSON, MS 39216-5199
(601) 362-4471
Mailing address
558 GREENMONT DR, JACKSON, MS 39212-2226
(601) 502-2733
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R723835
MS
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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