Individual
MARISSA BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4909 GREAT RIVER DR, MERIDIAN, MS 39305
(601) 282-8980
(601) 693-6561
Mailing address
4909 GREAT RIVER DR., MERIDIAN, MS 39325
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905834
MS
Other
Enumeration date
03/01/2023
Last updated
04/27/2023
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