Individual
MARIE EVANS ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2045 HIGHWAY 61 N, PORT GIBSON, MS 39150-4262
(601) 437-3050
(601) 437-3011
Mailing address
2045 HIGHWAY 61 N, PORT GIBSON, MS 39150-4262
(601) 437-3050
(601) 437-3011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R863363
MS
Other
Enumeration date
08/25/2011
Last updated
09/23/2020
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