person
Wanda Jane Dedeaux, FNP
Family Nurse Practitioner in Pascagoula, Mississippi
NPI 1639171234

Wanda Jane Dedeaux is a Family Nurse Practitioner based in Pascagoula, MS and is specialized in Family. Wanda Jane Dedeaux practices in Pascagoula, MS and has the professional credentials of FNP. The NPI Number for Wanda Jane Dedeaux is 1639171234 and holds a License No. R744414 (Mississippi).

The current practice location address for Wanda Jane Dedeaux is 1820 Old Mobile Ave, Pascagoula, MS and can be reached out via phone at 228-696-0230 and via fax at 228-712-2374.

Location: 1820 Old Mobile Ave, Pascagoula, MS, 39581-4713
person
Provider Profile Details
NPI Number
1639171234
Provider Name
Wanda Jane Dedeaux
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1820 Old Mobile Ave, Pascagoula, MS, 39581-4713
Phone Number
228-696-0230
Fax Number
228-712-2374
Provider Enumeration Date
08/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00120206 05 MS
institution
Provider Business Practice Location Address Details
Address
1820 Old Mobile Ave
City
State
Zip
39567-4412
Phone Number
228-696-0230
Fax Number
228-712-2374
person
Provider Business Mailing Address Details
Address
1820 Old Mobile Ave
City
State
Zip
39567-4412
Phone Number
228-696-0230
Fax Number
228-712-2374
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R744414 (Mississippi)
Definition
Definition to come...
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