Individual
DANA BROOKE UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2682 W OXFORD LOOP STE 130, OXFORD, MS 38655-5441
(662) 371-1543
Mailing address
901 CUMBERLAND RDG, OXFORD, MS 38655-9231
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
902268
MS
Other
Enumeration date
09/01/2017
Last updated
02/01/2023
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