Provider Demographics
NPI:1023013596
Name:MILTON, DEBE (RN, CDE)
Entity Type:Individual
Prefix:MRS
First Name:DEBE
Middle Name:
Last Name:MILTON
Suffix:
Gender:F
Credentials:RN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:38635-0010
Mailing Address - Country:US
Mailing Address - Phone:662-252-2446
Mailing Address - Fax:662-252-4379
Practice Address - Street 1:149A S MARKET ST
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:38635-3029
Practice Address - Country:US
Practice Address - Phone:662-252-2446
Practice Address - Fax:662-252-4379
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR807281163W00000X
MS2042-0329163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator