Organization
NURSE PRACTITIONER PROFESSIONALS, PLLC
Active
Other names
Theresa Renee King
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA RENEE KING CFNP (OWNER/PRES. NURSE. PRACTITIONER)
(601) 826-5500
Entity
Organization
Contact information
Practice address
427 HIGHWAY 51 SE, KINGS DAUGHTERS MEDICAL CENTER-WOUND HEALING CENTER, BROOKHAVEN, MS 39601
(601) 835-9444
(601) 833-5210
Mailing address
262 CORNERSTONE DR, BRANDON, MS 39042
(601) 826-5500
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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