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Individual

SUSAN PRATHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
201 E SUNFLOWER RD STE 5, CLEVELAND, MS 38732-2715
(662) 545-4599
(833) 953-0023
Mailing address
201 E SUNFLOWER RD STE 5, CLEVELAND, MS 38732-2715
(662) 545-4599
(833) 953-0023

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R874318
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09983311
MS
Enumeration date
05/22/2008
Last updated
06/24/2026
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