Provider Demographics
NPI:1902146624
Name:CURBOW, CHRISTIANNE M (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIANNE
Middle Name:M
Last Name:CURBOW
Suffix:
Gender:F
Credentials:FNP-C
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 2730
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-4200
Mailing Address - Country:US
Mailing Address - Phone:662-638-0462
Mailing Address - Fax:662-658-0083
Practice Address - Street 1:2215 JEFFERSON DAVIS DR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-5221
Practice Address - Country:US
Practice Address - Phone:662-638-0462
Practice Address - Fax:866-658-0083
Is Sole Proprietor?:No
Enumeration Date:2013-02-15
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR879122207R00000X
MSF0113390363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS01023864Medicaid
MSF0113390OtherFNP LICENSE
MS1902146624OtherBCBS
MSR879122OtherRN LICENSE
MS1902146624OtherBCBS