Individual provider · Type 1 NPI
John Christopher Funkhouser, N.P.
Family Nurse Practitioner · Madison, MS
NPI number
1821292046
Active
Practice location
286 Calhoun Station Parkway
Madison, MS 39110
Fax (601) 859-0159
Mailing address
PO Box 23666
Jackson, MS 39225-3666
Other practice locations
- 971 Lakeland Dr, Suite 250, Jackson, MS 39216-4643 · (601) 200-4860
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R859048 (MS) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1821292046
John Christopher Funkhouser, N.P.'s National Provider Identifier is 1821292046, issued on Jun 12, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Madison, MS. The record was last updated on Aug 22, 2019.