Individual
NIKITA MARIE CALVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
840 N OAK AVE, RULEVILLE, MS 38771-3227
(662) 756-4024
Mailing address
PO BOX 1462, CLARKSDALE, MS 38614-1462
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
902743
MS
Other
Enumeration date
06/26/2018
Last updated
10/24/2018
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