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Kimberly Gwen Mettetal, CFNPCPMHNP
Psychiatric/Mental Health Nurse Practitioner in Senatobia, Mississippi
NPI 1194911453

Kimberly Gwen Mettetal is a Psychiatric/Mental Health Nurse Practitioner based in Senatobia, MS and is specialized in Psychiatric/Mental Health. Kimberly Gwen Mettetal practices in Senatobia, MS and has the professional credentials of CFNPCPMHNP. The NPI Number for Kimberly Gwen Mettetal is 1194911453 and holds a License No. R850409 (Mississippi).

The current practice location address for Kimberly Gwen Mettetal is 309 W Main St, Senatobia, MS and can be reached out via phone at 662-560-3101.

Location: 309 W Main St, Senatobia, MS, 38668-2146
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Provider Profile Details
NPI Number
1194911453
Provider Name
Kimberly Gwen Mettetal
Credential
CFNPCPMHNP
Provider Entity Type
Individual
Gender
Female
Address
309 W Main St, Senatobia, MS, 38668-2146
Phone Number
662-560-3101
Fax Number
Provider Enumeration Date
09/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06787540 05 MS
382605901 05 TX
institution
Provider Business Practice Location Address Details
Address
309 W Main St
City
State
Zip
38668-2146
Phone Number
662-560-3101
Fax Number
person
Provider Business Mailing Address Details
Address
309 W Main St
City
State
Zip
38668-2146
Phone Number
662-560-3101
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2018026553 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R850409 (Mississippi)
Definition
Definition to come...
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