Individual
VENUS JEANETTE CALLAHAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1820 OLD MOBILE AVE, PASCAGOULA, MS 39567-4412
(228) 696-0230
(228) 712-2374
Mailing address
4628 EMERSON ST, PASCAGOULA, MS 39581-4713
(228) 769-8541
(228) 712-2374
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R142350
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116598
—
MS
Enumeration date
08/12/2005
Last updated
07/08/2007
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