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Ms. Christa Staples, CNNP,CPNP,FNP-C
Pediatric Nurse Practitioner in Prentiss, Mississippi
NPI 1740319839

Christa Staples is a Pediatric Nurse Practitioner based in Jackson, MS and is specialized in Pediatrics. Christa Staples practices in Prentiss, MS and has the professional credentials of CNNP,CPNP,FNP-C. The NPI Number for Christa Staples is 1740319839 and holds a License No. R857329 (Mississippi).

The current practice location address for Christa Staples is 1529 Columbia Ave, Prentiss, MS and can be reached out via phone at 601-792-3200.

Location: 1529 Columbia Ave, Prentiss, MS, 39225-4116
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Provider Profile Details
NPI Number
1740319839
Provider Name
Christa Staples
Credential
CNNP,CPNP,FNP-C
Provider Entity Type
Individual
Gender
Female
Address
1529 Columbia Ave, Prentiss, MS, 39225-4116
Phone Number
601-792-3200
Fax Number
Provider Enumeration Date
03/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00424220 05 MS
1740319839 05 MS
institution
Provider Business Practice Location Address Details
Address
1529 Columbia Ave
City
State
Zip
39474-9117
Phone Number
601-792-3200
Fax Number
person
Provider Business Mailing Address Details
Address
1529 Columbia Ave
City
State
Zip
39474-9117
Phone Number
601-792-3200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R857329 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal, Critical Care
Taxonomy
License No.
AP04163 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
R857329 (Mississippi)
Definition
Definition to come...
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