| Doctor Name: | MARGARET MARIE PRASANNA |
| NPI Number: | 1093033656 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | R858414 |
| Business Practice Address: | 5520 Highway 80 E Pearl, MS - 392088926 |
| Business Phone Number: | 6019392014 |
| Business Fax Number: | |
| Mailing Address: | Po Box 23666, JACKSON |
| State: | MS |
| Postal Code: | 392253666 |
| Phone Number: | 6012004749 |
| Fax Number: | 6012005929 |
| NPI Enumeration Date: | 05/06/2010 |
| NPI Last Update Date: | 05/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R858414 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |