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Frederick Joseph Deben JR., NP
Family Nurse Practitioner in Picayune, Mississippi
NPI 1790827335

Frederick Joseph Deben JR. is a Family Nurse Practitioner based in Picayune, MS and is specialized in Family. Frederick Joseph Deben JR. practices in Picayune, MS and has the professional credentials of NP. The NPI Number for Frederick Joseph Deben JR. is 1790827335 and holds a License No. R768485 (Mississippi).

The current practice location address for Frederick Joseph Deben JR. is 422 Memorial Blvd, Picayune, MS and can be reached out via phone at 601-798-2151.

Location: 422 Memorial Blvd, Picayune, MS, 39466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790827335
Provider Name
Frederick Joseph Deben JR.
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
422 Memorial Blvd, Picayune, MS, 39466
Phone Number
601-798-2151
Fax Number
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01930561 05 MS
institution
Provider Business Practice Location Address Details
Address
422 Memorial Blvd
City
Picayune
State
Mississippi
Zip
39466
Phone Number
601-798-2151
Fax Number
person
Provider Business Mailing Address Details
Address
422 Memorial Blvd
City
Picayune
State
Mississippi
Zip
39466
Phone Number
601-798-2151
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R768485 (Mississippi)
Definition
Definition to come...
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