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Individual

ALLEN BRANTLEY PEARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
25 S FOURTH ST, ROLLING FORK, MS 39159-5146
(662) 873-5222
Mailing address
PO BOX 339, ROLLING FORK, MS 39159-0339

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
907249
MS

Other

Enumeration date
02/21/2025
Last updated
02/21/2025
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