Individual
KACY ARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
501 AVALON WAY STE C, BRANDON, MS 39047-7500
(601) 573-7012
Mailing address
501 AVALON WAY STE C, BRANDON, MS 39047-7500
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
905042
MS
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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