Organization
CHILDREN'S ACCELERATION PROGRAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS MITCHELL N.P. (DIRECTOR)
(662) 846-6306
Entity
Organization
Contact information
Practice address
216 N CHRISMAN AVE, CLEVELAND, MS 38732-2730
(662) 846-6306
(662) 846-9069
Mailing address
PO BOX 1382, CLEVELAND, MS 38732-1382
(662) 846-6306
(662) 846-9069
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R125740
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00009266
—
MS
Enumeration date
02/22/2007
Last updated
08/22/2020
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