Individual
JODY MARIE WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
124 GARDEN LN, TUPELO, MS 38804-9221
(662) 687-3306
Mailing address
124 GARDEN LN, TUPELO, MS 38804-9221
(662) 687-3306
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906459
MS
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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