Organization
PONTOTOC CITY SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MITZI RUSSELL (SCHOOL NURSE)
(662) 489-8360
Entity
Organization
Contact information
Practice address
140 EDUCATION DR, PONTOTOC, MS 38863-2107
(662) 489-3336
(662) 489-7932
Mailing address
140 EDUCATION DR, PONTOTOC, MS 38863-2107
(662) 489-3336
(662) 489-7932
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R688525
MS
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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