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GINETTA FELTON ANDERSON FNP-BC

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1073176749

Individual Registrant:
 GINETTA FELTON ANDERSON FNP-BC
Gender: F
Sole Proprietor

Location and contact information for practice:
405 MARKET ST  PORT GIBSON, MS 39150-2024 US
Tel: 601-437-3323  Fax: --

Contact information for business:
64 LINCOLN HEIGHTS RD  NATCHEZ, MS 39120-8126 US
Tel: 601-874-0538  Fax: --

Registration Information:
NPI: 1073176749
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
MS903260

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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