Organization · Type 2 NPI
Children's Acceleration Program, Inc
Pediatric Nurse Practitioner · Clarksdale, MS
NPI number
1093865933
Active
Practice location
112 Issaquena Ave
Clarksdale, MS 38614-4315
Mailing address
PO Box 1382
Cleveland, MS 38732-1382
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | R125740 (MS) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1093865933
Children's Acceleration Program, Inc's National Provider Identifier is 1093865933, issued on Jan 11, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Clarksdale, MS. The record was last updated on Aug 22, 2020.