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Katie Antle, FNP-C
Family Nurse Practitioner in Ecru, Mississippi
NPI 1790548311

Katie Antle is a Family Nurse Practitioner based in Guntown, MS and is specialized in Family. Katie Antle practices in Ecru, MS and has the professional credentials of FNP-C. The NPI Number for Katie Antle is 1790548311 and holds a License No. 906501 (Mississippi).

The current practice location address for Katie Antle is 5482 Highway 15 N, Ecru, MS and can be reached out via phone at 662-488-8799.

Location: 5482 Highway 15 N, Ecru, MS, 38849-7915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790548311
Provider Name
Katie Antle
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
5482 Highway 15 N, Ecru, MS, 38849-7915
Phone Number
662-488-8799
Fax Number
Provider Enumeration Date
02/05/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
5482 Highway 15 N
City
Ecru
State
Mississippi
Zip
38841-8471
Phone Number
662-488-8799
Fax Number
person
Provider Business Mailing Address Details
Address
5482 Highway 15 N
City
Ecru
State
Mississippi
Zip
38841-8471
Phone Number
662-488-8799
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
906501 (Mississippi)
Definition
Definition to come...
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