Callie Hall Self, AGNP
NPI #1124896980 in Flowood, Mississippi
Provider Information
- NPI Number
- 1124896980
- Entity Type
- Individual
- Name
- Callie Hall Self, AGNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- AGNP
- Enumeration Date
- Dec 12, 2023
- Last Updated
- Jan 9, 2025
Practice Location
- Address
- 104 BURNEY DR
- City
- Flowood
- State
- Mississippi
- ZIP Code
- 39232-6621
- Phone
- (601) 987-8200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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