Individual
KATHERINE BROOME TOTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
970 LAKELAND DR STE 61, JACKSON, MS 39216-4682
(601) 982-7850
Mailing address
113 GREEN GATE XING, RIDGELAND, MS 39157-9454
(601) 750-2190
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R869835
MS
Other
Enumeration date
08/29/2013
Last updated
01/11/2021
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