Doctor Name: | MS. CARISSA IRENE SEARCY |
NPI Number: | 1568564870 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.P.R.N., B.C. |
License Number: | R763745 |
Business Practice Address: | 12725 Highway 23 North Tremont, MS - 38876 |
Business Phone Number: | 6626523361 |
Business Fax Number: | 6626523363 |
Mailing Address: | Po Box 122, TREMONT |
State: | MS |
Postal Code: | 388760122 |
Phone Number: | 6626523361 |
Fax Number: | 6626523363 |
NPI Enumeration Date: | 09/05/2006 |
NPI Last Update Date: | 08/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R763745 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |