person
Cantrell Ollie Anderson
Psychiatric/Mental Health Nurse Practitioner in Jackson, Mississippi
NPI 1780356212

Cantrell Ollie Anderson is a Psychiatric/Mental Health Nurse Practitioner based in Jackson, MS and is specialized in Psychiatric/Mental Health. Cantrell Ollie Anderson practices in Jackson, MS. The NPI Number for Cantrell Ollie Anderson is 1780356212 and holds a License No. 0000000 (Mississippi).

The current practice location address for Cantrell Ollie Anderson is 969 Lakeland Drive, Jackson, MS and can be reached out via phone at 662-590-3658.

Location: 969 Lakeland Drive, Jackson, MS, 39211
person
Provider Profile Details
NPI Number
1780356212
Provider Name
Cantrell Ollie Anderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
969 Lakeland Drive, Jackson, MS, 39211
Phone Number
662-590-3658
Fax Number
Provider Enumeration Date
10/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
969 Lakeland Drive
City
State
Zip
39216
Phone Number
662-590-3658
Fax Number
person
Provider Business Mailing Address Details
Address
969 Lakeland Drive
City
State
Zip
39216
Phone Number
662-590-3658
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
0000000 (Mississippi)
Definition
Definition to come...
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