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Desarae Cantrell
Licensed Practical Nurse in Yazoo City, Mississippi
NPI 1932864402

Desarae Cantrell is a Licensed Practical Nurse based in Yazoo City, MS. Desarae Cantrell practices in Yazoo City, MS. The NPI Number for Desarae Cantrell is 1932864402 and holds a License No. 336497 (Mississippi).

The current practice location address for Desarae Cantrell is 635 W Willie Morris Pkwy, Yazoo City, MS and can be reached out via phone at 662-746-5712.

Location: 635 W Willie Morris Pkwy, Yazoo City, MS, 39194-7702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932864402
Provider Name
Desarae Cantrell
Credential
Provider Entity Type
Individual
Gender
Female
Address
635 W Willie Morris Pkwy, Yazoo City, MS, 39194-7702
Phone Number
662-746-5712
Fax Number
Provider Enumeration Date
11/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
635 W Willie Morris Pkwy
City
Yazoo City
State
Mississippi
Zip
39194-7702
Phone Number
662-746-5712
Fax Number
person
Provider Business Mailing Address Details
Address
635 W Willie Morris Pkwy
City
Yazoo City
State
Mississippi
Zip
39194-7702
Phone Number
662-746-5712
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
336497 (Mississippi)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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