Individual
BARBARA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3828 COBBLEWOOD DR, SOUTHAVEN, MS 38672-6556
(901) 289-5749
Mailing address
3828 COBBLEWOOD DR, SOUTHAVEN, MS 38672-6556
(901) 289-5749
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10240509
MS
363LF0000X
Family Nurse Practitioner
Primary
10240509
MS
363LP2300X
Primary Care Nurse Practitioner
10240509
MS
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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