specializing in nurse practitioner in Forest, Mississippi

NPI: 1679831531

Provider Type

2

Practice Locations

Mailing Location

DEPT 3029 PO BOX 1000

MEMPHIS, TN 38148

📞 6012133010

📠 6012133011

Practice Location

1080 HIGHWAY 35 S

FOREST, MS 39074

📞 6014693555

📠 6014693584

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:4/30/2012
Last Updated:4/21/2023

Credentials

Primary Credential:
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null null null - Nurse Practitioner in Forest, Mississippi