Provider Demographics
NPI:1861969552
Name:EVERETT, MONYETTA S (FNP)
Entity type:Individual
Prefix:MRS
First Name:MONYETTA
Middle Name:S
Last Name:EVERETT
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:14100 GLYNN VALLEY CV S
Mailing Address - Street 2:
Mailing Address - City:BYHALIA
Mailing Address - State:MS
Mailing Address - Zip Code:38611-7455
Mailing Address - Country:US
Mailing Address - Phone:601-410-1695
Mailing Address - Fax:219-300-5911
Practice Address - Street 1:270 TRACE COLONY PARK DR STE B
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-8810
Practice Address - Country:US
Practice Address - Phone:662-429-9111
Practice Address - Fax:219-300-5911
Is Sole Proprietor?:No
Enumeration Date:2018-10-31
Last Update Date:2025-08-02
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Provider Licenses
StateLicense IDTaxonomies
MS903007207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine