NPI 1053736710

Christine M Sandridge

Practitioner Licensed Practical Nurse Olive Branch, MS

Practice location

Address: 6783 Terry Chase, Olive Branch, MS 38654-1448
Phone: (662) 209-9219

Registered specialties (2)

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 269971 (MS)

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1053736710
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Mar 2014
Record last updated: 1 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.