Individual
MRS. KATHERINE JAYNE CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1002 JEFFERSON STREET, SUITE 200, LAUREL, MS 39440-4306
(601) 649-3520
Mailing address
5119 COUNTY ROAD 630, SHUBUTA, MS 39360-9385
(615) 294-0708
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902663
MS
Other
Enumeration date
06/13/2018
Last updated
01/06/2020
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