| Dametra Mangum, FNP | |
|
112 W Peeler Ave, Shaw, MS 38773-8710 | |
| (662) 754-3301 | |
| Not Available |
| Full Name | Dametra Mangum |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 112 W Peeler Ave, Shaw, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740904846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 905487 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dametra Mangum, FNP 1252 West Government Street, P.o. Box 2336, Brandon, MS 39042-8987 Ph: () - | Dametra Mangum, FNP 112 W Peeler Ave, Shaw, MS 38773-8710 Ph: (662) 754-3301 |
Teresa Wilson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-754-3301 | |
Mrs. Willie Mary Bolden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-745-6638 | |
Tiffany Sherell Newell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-754-3301 | |
Mrs. Sereka V Walker, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-754-3301 Fax: 662-754-3304 | |
Mrs. Regina Jonelle Evans, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-754-3301 Fax: 662-754-3304 | |
Nora Cecelia Gough-davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-754-3301 Fax: 662-754-3304 |