Individual
MARIA KATHERINE TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4728 HIGHWAY 39 N, MERIDIAN, MS 39301-1015
(731) 394-1145
(844) 374-0233
Mailing address
36 PEMBERTON CV, JACKSON, TN 38305-5514
(731) 394-1145
(844) 374-0233
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903848
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
903848
NP LICENSE
MS
Enumeration date
09/30/2020
Last updated
08/16/2021
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