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Individual

DR. SHEREE CONLEY-DONALDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, DNP, FNP, PMHNP

Contact information

Practice address
100 S 20TH AVE STE A, HATTIESBURG, MS 39401-6043
(769) 250-8054
Mailing address
185 MILLPOND DRIVE, HATTIESBURG, MS 39401-5559
(601) 602-3161

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R893659
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R893659
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04959881
MS
Enumeration date
04/15/2015
Last updated
09/19/2024
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