Marie Crispin Anderson, RN FNP
Nurse Practitioner, Family in Jackson, MS. Individual provider (NPI-1).
NPI number1386759819
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1386759819
- Entity type
- Individual (NPI-1)
- Name
- Ms. Marie Crispin Anderson
- Credential
- RN FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R532606 | MS | Yes |
Practice location
1500 East Woodrow Wilson DrMedical Service Routing Number 111a
Jackson, MS 39216-5199
Phone 601-362-4471 · Fax 601-364-1278
Mailing address
102 Elgin PlaceClinton, MS 39056-3946
Phone 601-925-0890
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