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Canton Foot Clinic
Nurse Practitioner in Raymond, Mississippi
NPI 1659447878

Canton Foot Clinic is a Nurse Practitioner based in Byram, MS. Canton Foot Clinic practices in Raymond, MS. The NPI Number for Canton Foot Clinic is 1659447878 and holds a License No. R772161 (Mississippi).

The current practice location address for Canton Foot Clinic is 205 Ridge Park Cv N, Raymond, MS and can be reached out via phone at 601-672-7835 and via fax at 601-346-7133.

Location: 205 Ridge Park Cv N, Raymond, MS, 39272-0894
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659447878
Provider Name
Canton Foot Clinic
Credential
Provider Entity Type
Organization
Address
205 Ridge Park Cv N, Raymond, MS, 39272-0894
Phone Number
601-672-7835
Fax Number
601-346-7133
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00125897 05 MS
04587370 05 MS
C03380 01 MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
205 Ridge Park Cv N
City
Raymond
State
Mississippi
Zip
39154-9679
Phone Number
601-672-7835
Fax Number
601-346-7133
person
Provider Business Mailing Address Details
Address
205 Ridge Park Cv N
City
Raymond
State
Mississippi
Zip
39154-9679
Phone Number
601-672-7835
Fax Number
601-346-7133
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
R772161 (Mississippi)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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