Individual
TRAVANTA CHERI WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216
(601) 984-6437
Mailing address
207 W RAILROAD AVE N, CRYSTAL SPRINGS, MS 39059
(601) 750-1455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903904
MS
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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