Individual
MRS. CANDICE NICOLE CLIBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
511 BROOKMAN DR, BROOKHAVEN, MS 39601-2326
(601) 757-7227
Mailing address
511 BROOKMAN DR, BROOKHAVEN, MS 39601-2326
(601) 757-7227
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901601
MS
Other
Enumeration date
06/28/2016
Last updated
04/06/2023
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