Individual
MR. JAMES L BURRELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFNP
Contact information
Practice address
2885 MCCULLOUGH BLVD, BELDEN, MS 38826
(662) 566-5593
(662) 566-4419
Mailing address
PO BOX 353, BELDEN, MS 38826-0353
(662) 566-5593
(662) 566-4419
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R866565
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03906898
—
MS
Enumeration date
09/17/2008
Last updated
11/24/2009
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