Individual
JENNIFER W PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2506 LAKELAND DR STE 300, FLOWOOD, MS 39232-7640
(601) 326-2599
(601) 933-0852
Mailing address
2506 LAKELAND DR STE 300, FLOWOOD, MS 39232-7640
(601) 326-2599
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
901879
MS
363LA2100X
Acute Care Nurse Practitioner
901879
MS
Other
Enumeration date
12/20/2016
Last updated
11/27/2020
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