Individual
MINDY MANNING DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
303 MEDICAL CENTER DR, BATESVILLE, MS 38606-8608
(866) 362-6963
(866) 362-4202
Mailing address
716 W BROOKHAVEN CIR, MEMPHIS, TN 38117-4504
(901) 844-1590
(901) 844-1592
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
21221
TN
367500000X
Certified Registered Nurse Anesthetist
876132
MS
367500000X
Certified Registered Nurse Anesthetist
R876132
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200001877
—
MS
Enumeration date
07/03/2013
Last updated
02/16/2026
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