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Individual

MRS. NATASHA YVONNEAVION WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
2100 HIGHWAY 61 N, VICKSBURG, MS 39183-8211
(601) 883-5000
Mailing address
159 MADERA LN, 159 MADERA LANE, VICKSBURG, MS 39180-8082
(601) 629-6111

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R884978
MS

Other

Enumeration date
08/15/2014
Last updated
08/19/2014
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