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NPI Profile for Dr DEONDRA M CARR in TYLERTOWN, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
363LS0200X | 50 | Nurse Practitioner |
| NPI # | 1174295661 |
|
| Status | Active | |
| Credentials | PHD, RN | |
| Entity | Individual | |
| Enumeration date | 10/02/2021 | |
| Last updated | 10/02/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DEONDRA M CARR
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DEONDRA M CARR, PHD, RN