Individual
YEN PHAM FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
7276 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4760
(662) 349-6577
(662) 349-6562
Mailing address
7276 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4760
(662) 349-6577
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R896239
MS
Other
Enumeration date
07/18/2011
Last updated
08/04/2023
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