Individual
VALERIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
501 S CHESTNUT ST, ABERDEEN, MS 39730-3336
(662) 369-6131
(662) 369-4588
Mailing address
501 S CHESTNUT ST, ABERDEEN, MS 39730-3336
(662) 369-6131
(662) 369-4588
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R130110
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115237
—
MS
Enumeration date
02/14/2008
Last updated
02/14/2008
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