Gwenevere Chew, CFNP
Nurse Practitioner, Family in Clarksdale, MS. Individual provider (NPI-1).
NPI number1104093723
StatusActive
Last updated in NPPESJun 5, 2014
Details
- NPI
- 1104093723
- Entity type
- Individual (NPI-1)
- Name
- Gwenevere Chew
- Credential
- CFNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 13, 2008
- Last updated
- Jun 5, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R637211 | MS | Yes |
Practice location
340 Desoto Avenue ExtClarksdale, MS 38614-2814
Phone 662-741-2151 · Fax 662-741-2700
Mailing address
400 Security SqGulfport, MS 39507-1932
Phone 662-741-2151 · Fax 662-741-2700
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