Individual
MISTY BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
391 SOUTHCREST CIR, SOUTHAVEN, MS 38671-6730
(662) 349-2659
Mailing address
391 SOUTHCREST CIR STE 108, SOUTHAVEN, MS 38671-4775
(662) 349-2659
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
24805
TN
363LF0000X
Family Nurse Practitioner
Primary
902859
MS
Other
Enumeration date
04/03/2018
Last updated
06/23/2022
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