Individual
MRS. REBECCA PERRY WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4381 SOUTH EASON BLVD, LONGTOWN MEDICAL PARK, TUPELO, MS 38801
(662) 377-7354
(662) 377-5301
Mailing address
214 DOGWOOD EST, BOONEVILLE, MS 38829-8273
(662) 728-1154
(662) 728-1154
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R686093
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114215
—
MS
Enumeration date
01/19/2007
Last updated
07/08/2007
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