Individual
MRS. EURIEKA DENISE SHUMPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1136 COUNTY ROAD 154, SHANNON, MS 38868-9190
(662) 397-6099
Mailing address
1136 COUNTY ROAD 154, SHANNON, MS 38868-9190
(662) 397-6099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903077
MS
Other
Enumeration date
12/21/2018
Last updated
11/18/2019
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