Individual
CHASITY BROOKE FLOURNOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-PNP
Contact information
Practice address
119 GRANDSTAND PLACE, SUITE 101, TUPELO, MS 38804
(662) 377-7337
(662) 842-1350
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
(662) 377-2774
(662) 377-2057
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
915707
MS
363LP0200X
Pediatric Nurse Practitioner
Primary
907052
MS
Other
Enumeration date
11/17/2022
Last updated
08/13/2026
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