Individual
KRUTI PRAKASH PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 664-1300
Mailing address
PO BOX 2153 DEPT 1947, BIRMINGHAM, AL 35287-0002
(601) 992-5532
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903021
MS
Other
Enumeration date
02/09/2019
Last updated
04/15/2019
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