Organization
CENTRAL MS SCHOOL BASED HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA J DEAN CFNP (MEMBER MANAGER)
(662) 289-9404
Entity
Organization
Contact information
Practice address
26050 HIGHWAY 12, MC COOL, MS 39108-9160
(662) 289-9404
(662) 289-6450
Mailing address
5264 ATTALA ROAD 1135, KOSCIUSKO, MS 39090-6597
(662) 289-9404
(662) 289-6450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R853619
MS
Other
Enumeration date
06/24/2006
Last updated
03/07/2008
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