Megan Green Carpenter
Nurse Practitioner, Family in Clarksdale, MS. Individual provider (NPI-1).
NPI number1780157727
StatusActive
Last updated in NPPESJul 2, 2020
Details
- NPI
- 1780157727
- Entity type
- Individual (NPI-1)
- Name
- Megan Green Carpenter
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2019
- Certification date
- Jul 2, 2020
- Last updated
- Jul 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 903083 | MS | Yes |
Practice location
551 Medical DrClarksdale, MS 38614-6733
Phone 662-624-2531
Mailing address
216 Porter DrClarksdale, MS 38614-9389
Phone 662-418-9484
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