Individual
DR. AUDWIN FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFNP
Contact information
Practice address
258 E FORTIFICATION ST, JACKSON, MS 39202-2356
(601) 815-8230
(601) 354-6289
Mailing address
865 WINDWARD DR, RICHLAND, MS 39218-9589
(601) 932-6010
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R791517
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119913
—
MS
Enumeration date
03/21/2006
Last updated
10/29/2015
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