Individual
MISS FELICIA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
58 HAWTHORNE DR, HATTIESBURG, MS 39402-7232
(662) 315-0755
Mailing address
58 HAWTHORNE DR, HATTIESBURG, MS 39402-7232
(662) 315-0755
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
892288
MS
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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