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Organization
NURSE PRACTITIONER PROFESSIONALS, PLLC
Active
Organization
NURSE PRACTITIONER PROFESSIONALS, PLLC
Active
Other names
Theresa Renee King
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA RENEE KING CFNP (OWNER/PRES. NURSE. PRACTITIONER)
(601) 826-5500
Entity
Organization
Contact information
Practice address
427 HIGHWAY 51 SE, KINGS DAUGHTERS MEDICAL CENTER-WOUND HEALING CENTER, BROOKHAVEN, MS 39601
(601) 835-9444
(601) 833-5210
Mailing address
262 CORNERSTONE DR, BRANDON, MS 39042
(601) 826-5500
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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