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Mrs. Dortha Leona Carnathan, NP
Family Nurse Practitioner in Tupelo, Mississippi
NPI 1922271600

Dortha Leona Carnathan is a Family Nurse Practitioner based in Tupelo, MS and is specialized in Family. Dortha Leona Carnathan practices in Tupelo, MS and has the professional credentials of NP. The NPI Number for Dortha Leona Carnathan is 1922271600 and holds a License No. R582581 (Mississippi).

The current practice location address for Dortha Leona Carnathan is 910 Mary Vance Dr, Tupelo, MS and can be reached out via phone at 662-377-6275 and via fax at 662-377-6299.

Location: 910 Mary Vance Dr, Tupelo, MS, 38801
person
Provider Profile Details
NPI Number
1922271600
Provider Name
Dortha Leona Carnathan
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
910 Mary Vance Dr, Tupelo, MS, 38801
Phone Number
662-377-6275
Fax Number
662-377-6299
Provider Enumeration Date
04/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500263208 05 MS
institution
Provider Business Practice Location Address Details
Address
910 Mary Vance Dr
City
State
Zip
38801
Phone Number
662-377-6275
Fax Number
662-377-6299
person
Provider Business Mailing Address Details
Address
910 Mary Vance Dr
City
State
Zip
38801
Phone Number
662-377-6275
Fax Number
662-377-6299
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R582581 (Mississippi)
Definition
Definition to come...
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