Individual
MRS. CHERRYL M AVENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
303 LAMAR ST, KILMICHAEL, MS 39747-9002
(662) 262-4284
(662) 262-5586
Mailing address
303 LAMAR ST, PO BOX 186, KILMICHAEL, MS 39747-9002
(662) 262-4284
(662) 262-5586
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R504696
MS
363LF0000X
Family Nurse Practitioner
Primary
R504696
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08323821
—
MS
Enumeration date
05/05/2006
Last updated
09/21/2010
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