Most Relevant Information
Provider Data
| NPI Number: | 1003291683 |
| Provider Name: | CARRIE JAMES WORSHAM NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 20150 |
Most Important Dates
| Enumeration Date: | 07/24/2015 |
| Last Updated: | 11/24/2022 |
Provider Practice Location
3102 GOODMAN RD W
HORN LAKE
MS
386371172
Practice Location Phone/Fax
| Phone: | 6623426677 |
| Fax: | 6623421213 |
Provider Mailing Location
3102 GOODMAN RD W
HORN LAKE
MS
386371172
Provider Mailing Phone/Fax
| Phone: | 6623442667 |
| Fax: | 6623421213 |