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1891730859
CHARLOTTE S POWELL
JACKSON, MS
NPI
1891730859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R545171)
Enumeration Date
2006-06-16
Last Update Date
2013-10-01
Business Address
-- CHARLOTTE S POWELL FNP-BC
3531 EAST LAKELAND DRIVE BRENTWOOD BEHAVIORAL HEALTHCARE OF MS
JACKSON, MS 39232-8839
Phone number: 601-936-2024
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Mailing Address
-- CHARLOTTE S POWELL FNP-BC
932 EUCLID AVE
JACKSON, MS 39202-1110
Phone number: 601-573-5922
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