OrganizationActive
Children'S Acceleration Program, Inc
NPI 1093865933 · Pediatric Nurse Practitioner · Clarksdale, MS
Provider details
- NPI number
- 1093865933
- Entity type
- Organization
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Doris Mitchell, Director(662) 627-2741
- License
- R125740 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
112 Issaquena Ave
Clarksdale, MS 38614-4315
Phone: (662) 627-2741
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1382
Cleveland, MS 38732-1382
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.