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Individual

DAYNA HAMM PRIDGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1050 SW 6TH AVE STE 1100, PORTLAND, OR 97204-1153
(888) 731-8994
Mailing address
PO BOX 291, TAYLORSVILLE, MS 39168-0291
(601) 705-2897
(601) 579-5240

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
881108
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01839212
MS
Enumeration date
08/05/2014
Last updated
04/28/2025
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