| Doctor Name: | MS. RACHAEL CRITTENDEN DEDEAUX |
| NPI Number: | 1891027702 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | R867573 |
| Business Practice Address: | 149 Drinkwater Rd Bay St Louis, MS - 395201658 |
| Business Phone Number: | 2284678600 |
| Business Fax Number: | |
| Mailing Address: | 24080 Anno Saucier Rd, GULFPORT |
| State: | MS |
| Postal Code: | 395037566 |
| Phone Number: | 2284678600 |
| Fax Number: | |
| NPI Enumeration Date: | 02/02/2010 |
| NPI Last Update Date: | 01/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R867573 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |