Individual
MR. NATHANIEL LEVI BUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
7111 SOUTHCREST PKWY STE 109, SOUTHAVEN, MS 38671-4852
(662) 503-7416
(662) 349-9082
Mailing address
7111 SOUTHCREST PKWY STE 109, SOUTHAVEN, MS 38671-4852
(662) 349-9116
(662) 349-9082
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
27228
TN
363LF0000X
Family Nurse Practitioner
Primary
903864
MS
Other
Enumeration date
02/15/2020
Last updated
07/11/2025
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