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NPI 1710601885

NPI 1710601885 : MS. WHITLEY S LINSON : CANTON, MS

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General NPI Number Information
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    NPI Number           |    1710601885
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    Entity Type          |    Individual 
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    Provider Name        |    MS. WHITLEY S LINSON
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/03/2022
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    Last Update Date     |    02/04/2026
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Provider Practice Location Address
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    Address Line         |    PO BOX 607 
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    City                 |    CANTON
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    State                |    MS
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    Zip                  |    39046-0607
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    Country              |    US
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    Telephone            |    601-859-9888
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    Fax                  |    601-859-9004
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Provider Business Mailing Address
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    Address Line         |    2501 RIVER OAKS BLVD APT 6C 
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    City                 |    JACKSON
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    State                |    MS
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    Zip                  |    39211-3630
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    Country              |    US
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    Telephone            |    601-613-4859
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    907511
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    License Number State |    MS
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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