Individual
BECKY JAN MERCIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CFNP
Contact information
Practice address
1065 E BROAD ST, MONTICELLO, MS 39654-7703
(601) 587-4051
(601) 587-1256
Mailing address
31 JUBILEE PT, HATTIESBURG, MS 39402-7620
(601) 271-9078
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R862123
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126490
—
MS
Enumeration date
08/31/2006
Last updated
07/08/2007
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