Individual
MRS. ANITA SHARYL CLINTON DONEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1012 BIG LANE DR, BROOKHAVEN, MS 39601-2331
(601) 835-3949
(601) 833-1633
Mailing address
1012 BIG LANE DR, BROOKHAVEN, MS 39601-2331
(601) 835-3949
(601) 833-1633
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R854109
MS
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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