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Individual

WILLIAM JASON BASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.P.

Contact information

Practice address
215 MARION AVE, MCCOMB, MS 39648-2705
(601) 249-5500
(954) 367-8523
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 250-4366
(601) 250-4367

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R860482
MS
363LF0000X
Family Nurse Practitioner
Primary
860482
MS

Other

Enumeration date
07/15/2014
Last updated
02/14/2024
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