Facts
- Status
- A
- Credential
- FNP-C
- Type
- Individual
- Enumeration date
- 2011-11-01
- Last updated
- 2013-02-17
Specialties
Licenses
- License MS
- R879780
Location
- Practice location
- 20 HOBO FORK RD
- City
- NATCHEZ MS
- Postal code
- 391209025
- Phone
- 601-304-2500
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.