Individual
MARSHALVIA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1221 E UNION ST, GREENVILLE, MS 38703-3243
(731) 394-1145
Mailing address
406 MARTIN ST, GREENWOOD, MS 38930-3436
(662) 361-8897
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
905124
MS
Other
Enumeration date
01/21/2022
Last updated
04/06/2022
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