Anderson, Cantrell Ollie

Anderson, Cantrell Ollie is an individual health care provider with primary practice located at 969 Lakeland Drive , Jackson MS 39216. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Anderson, Cantrell Ollie can be contacted via phone (662) 590-3658.

Contact Information

Primary practice address
969 Lakeland Drive Jackson MS 39216
Phone: (662) 590-3658
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0000000 Mississippi

Profile Details

NPI number 1780356212
LBN Legal business name Anderson, Cantrell Ollie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2021
Last updated Oct 3rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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