Individual
MRS. PEGGY JO OAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
532 S CHURCH ST, TUPELO, MS 38804-4708
(662) 841-9015
Mailing address
532 S CHURCH ST, TUPELO, MS 38804-4708
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R560359
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123964
—
MS
Enumeration date
02/13/2007
Last updated
07/09/2007
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