Individual
MRS. KEELEY GRACE AWWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1710 N GLOSTER ST, TUPELO, MS 38804-1216
(662) 840-6824
Mailing address
84 COUNTY ROAD 5211, BOONEVILLE, MS 38829-9422
(662) 416-6282
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906308
MS
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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