Individual
MRS. JENA WADE ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
457 E MADISON ST, HOUSTON, MS 38851-2308
(662) 567-5005
Mailing address
5338 MS HIGHWAY 9, EUPORA, MS 39744-8606
(662) 983-8438
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R882626
MS
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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