Individual provider · Type 1 NPI
Jennifer Champagne, NP-C
Adult Health Nurse Practitioner · Picayune, MS
NPI number
1235529454
Active
Practice location
2797 Cooper Rd
Picayune, MS 39466-2213
Mailing address
30030 Road 202
Carriere, MS 39426-9208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | R871326 (MS) |
| Gerontology Nurse Practitioner | 363LG0600X | R871326 (MS) |
| Primary Care Nurse Practitioner | 363LP2300X | R871326 (MS) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1235529454
Jennifer Champagne, NP-C's National Provider Identifier is 1235529454, issued on Jan 26, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Picayune, MS. The record was last updated on Jul 21, 2016.