Individual
DARLENIA T ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 925-6805
(601) 926-4978
Mailing address
PO BOX 24146, JACKSON, MS 39225-4146
(601) 925-6805
(601) 926-4978
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R856040
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08275215
—
MS
Enumeration date
09/29/2006
Last updated
10/11/2012
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