Doctor Name: | CARA Y MASSEY |
NPI Number: | 1548510761 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 16872 |
Business Practice Address: | 12 East Brunswick Ave Byhalia, MS - 386110698 |
Business Phone Number: | 6628382163 |
Business Fax Number: | 6628387945 |
Mailing Address: | 718 Smart Rd, HOLLY SPRINGS |
State: | MS |
Postal Code: | 386357856 |
Phone Number: | 6628382163 |
Fax Number: | 6628387945 |
NPI Enumeration Date: | 09/14/2012 |
NPI Last Update Date: | 06/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 16872 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |