Doctor Name: | MS. CINNAMON CARYL FOSTER |
NPI Number: | 1659607232 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, FNP-BC |
License Number: | R872547 |
Business Practice Address: | 712 S Main St Water Valley, MS - 389653334 |
Business Phone Number: | 6628321520 |
Business Fax Number: | 6624731138 |
Mailing Address: | 114 Church St, WATER VALLEY |
State: | MS |
Postal Code: | 389652518 |
Phone Number: | 6628321520 |
Fax Number: | 6624731138 |
NPI Enumeration Date: | 11/02/2009 |
NPI Last Update Date: | 07/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R872547 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |