Individual
MRS. DAPHENIA C. KNIGHT STARLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
CLINTON HEALTHCARE, 1251 PINEHAVEN RD, CLINTON, MS 39056
(601) 206-0901
(888) 240-6288
Mailing address
200 AMITY LN, BRANDON, MS 39047-7941
(601) 206-0901
(888) 240-6288
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R718319
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02052873
—
MS
Enumeration date
06/23/2011
Last updated
09/23/2020
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