Organization
OASIS HOME MEDICAL VISITS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAJUANDRA CHANDLER FNP (FNP)
(662) 445-2531
Entity
Organization
Contact information
Practice address
108 WHITTINGTON DR, INDIANOLA, MS 38751-3434
(662) 303-3743
(662) 445-2532
Mailing address
108 WHITTINGTON DR, INDIANOLA, MS 38751-3434
(662) 303-3743
(662) 445-2532
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901379
MS
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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