person
Kawanna Corrine Malone, CFNP
Family Nurse Practitioner in Nettleton, Mississippi
NPI 1639279425

Kawanna Corrine Malone is a Family Nurse Practitioner based in Nettleton, MS and is specialized in Family. Kawanna Corrine Malone practices in Nettleton, MS and has the professional credentials of CFNP. The NPI Number for Kawanna Corrine Malone is 1639279425 and holds a License No. R682403 (Mississippi).

The current practice location address for Kawanna Corrine Malone is 1495 Maple Rd, Nettleton, MS and can be reached out via phone at 662-963-9146 and via fax at 662-963-9186. You can also correspond with Kawanna Corrine Malone through the mailing address at 361 CR 122, NETTLETON, MS - 38858-6026 (mailing address contact number: 662-825-1086).

Location: 1495 Maple Rd, Nettleton, MS, 38858-6026
person
Provider Profile Details
NPI Number
1639279425
Provider Name
Kawanna Corrine Malone
Credential
CFNP
Provider Entity Type
Individual
Gender
Female
Address
1495 Maple Rd, Nettleton, MS, 38858-6026
Phone Number
662-963-9146
Fax Number
662-963-9186
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05774270 05 MS
institution
Provider Business Practice Location Address Details
Address
1495 Maple Rd
City
State
Zip
38858-6026
Phone Number
662-963-9146
Fax Number
662-963-9186
person
Provider Business Mailing Address Details
Address
1495 Maple Rd
City
State
Zip
38858-6026
Phone Number
662-963-9146
Fax Number
662-963-9186
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R682403 (Mississippi)
Definition
Definition to come...
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