Individual
CARRIE A FOXWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2002 HIGHWAY 15 N STE D, LAUREL, MS 39440-1983
(601) 426-9614
(601) 399-1592
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 399-6169
(601) 399-6281
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
902217
MS
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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