Individual
KAJUANDRA CHANDLER-MCDUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1668 W PEACE ST, CANTON, MS 39046-5332
(601) 859-5213
(601) 859-8771
Mailing address
1668 W PEACE ST, CANTON, MS 39046-5332
(601) 859-5213
(601) 859-8771
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20927
TN
363LF0000X
Family Nurse Practitioner
901379
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009010018
—
MS
01
—
6S4720
MEDICARE
MS
05
—
Q019941
—
TN
Enumeration date
12/10/2015
Last updated
12/04/2025
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