Individual
ANNETTE CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4066 ATTALA ROAD 1110, KOSCIUSKO, MS 39090-6225
(166) 261-4881
Mailing address
4066 ATTALA ROAD 1110, KOSCIUSKO, MS 39090-6225
(662) 614-8811
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F04230524
MS
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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