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GINETTA FELTON ANDERSON FNP-BC
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1073176749
Individual Registrant: GINETTA FELTON ANDERSON FNP-BC
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
405 MARKET ST PORT GIBSON, MS 39150-2024 US
Tel: 601-437-3323 Fax: --
Tel: 601-437-3323 Fax: --
Contact information for business:
64 LINCOLN HEIGHTS RD NATCHEZ, MS 39120-8126 US
Tel: 601-874-0538 Fax: --
Tel: 601-874-0538 Fax: --
Registration Information:
NPI: 1073176749
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | MS | 903260 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
