Individual
MEAGAN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
332 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3209
(662) 289-1800
Mailing address
507 MACARTHUR ST, GREENWOOD, MS 38930-2451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905710
MS
Other
Enumeration date
12/21/2022
Last updated
01/05/2023
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