Individual provider · Type 1 NPI

Collier Peavy, FNP-C

Family Nurse Practitioner · Jackson, MS

NPI number 1790192482 Active

Practice location

971 Lakeland Dr, Suite 750
Jackson, MS 39216-4643

Fax (601) 200-5929

Mailing address

PO Box 23666
Jackson, MS 39225-3666

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR888909 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1790192482

Collier Peavy, FNP-C's National Provider Identifier is 1790192482, issued on Jul 15, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Aug 15, 2014.