Individual
MS. BONITA CLAIR CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.F.N.P.
Contact information
Practice address
901 EAST SUNFLOWER ROAD, CLEVELAND, MS 38732-1380
(662) 846-0061
Mailing address
1398 CROSBY ROAD, CLEVELAND, MS 38732-1380
(662) 846-6710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R143740
MS
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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