Individual
JOANNA WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1600 22ND AVE FL 3, MERIDIAN, MS 39301-3223
(601) 703-8370
(601) 703-8397
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(877) 348-1281
(901) 227-3206
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
874207
MS
363LP0200X
Pediatric Nurse Practitioner
Primary
901770
MS
Other
Enumeration date
08/19/2016
Last updated
12/30/2024
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