MS STATE DEPT OF HELTH

NPI # 

Practice Address:

3128 8Th St

Meridian, MS, 39301-4753

Practice Phone:

601-482-3171

License Number:

R505307

License State:

MS

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Women's Health

Taxonomy Code:

363LW0102X