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Individual

MRS. BETTIE J SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 368-3907
(601) 368-3918
Mailing address
1500 E WOODROW WILSON DRIVE, 1500 E WOODROW WILSON DRIVE, JACKSON, MS 39216
(601) 368-3907
(601) 368-3918

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R520276
MS

Other

Enumeration date
07/19/2006
Last updated
07/17/2007
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