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NPI Code Detail

MEDICARE: ELIZABETH SENN DAWSON CRNP

MEDICARE: ELIZABETH SENN DAWSON CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1-096536AL
2363LF0000XFamily Nurse PractitionerR866234MS

General Provider Information

NPI Number : 1013189927
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH SENN DAWSON CRNP
Provider Business Mailing Address
First Line : 1507 W QUITMAN ST
Second Line :
City : IUKA
State : MS
Zip : 38852-1132
Country : US
Telephone Number : 662-423-1000
Fax Number :
Provider Business Practice Location Address
First Line : 1507 W QUITMAN ST
Second Line :
City : IUKA
State : MS
Zip : 38852-1132
Country : US
Telephone Number : 662-423-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2008
Last Update Date : 08/29/2015

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Directions to “ ELIZABETH SENN DAWSON CRNP” Practice Location

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