Individual
SUSAN PRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
580 FRIARS POINT RD, CLARKSDALE, MS 38614-9734
(662) 624-4316
(662) 621-1151
Mailing address
580 FRIARS POINT RD, CLARKSDALE, MS 38614-9734
(662) 624-4316
(662) 627-2758
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
06/14/2017
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