Individual
MACEY L CHRESTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2580 JACKSON AVE W STE 44, OXFORD, MS 38655-5497
(662) 234-9112
(662) 234-9112
Mailing address
2580 JACKSON AVE W STE 44, OXFORD, MS 38655-5497
(662) 234-9112
(662) 234-9112
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905862
MS
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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