IndividualActive
Desarae Cantrell
NPI 1932864402 · Licensed Practical Nurse · Yazoo City, MS
Provider details
- NPI number
- 1932864402
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 336497 (MS)
Specialties & taxonomies
Nursing Service Providers
Practice location
635 W Willie Morris Pkwy
Yazoo City, MS 39194-7702
Phone: (662) 746-5712
Approximate (ZIP-level) locationGet directions
Mailing address
635 W Willie Morris Pkwy
Yazoo City, MS 39194-7702
Registry dates
- Enumerated
- 2021-11-01
- Last updated
- 2021-11-01
- Certified
- 2021-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.