Organization
ASPIRE WELLNESS & FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE MCGREGER FNP (OWNER)
(662) 841-8020
Entity
Organization
Contact information
Practice address
302 S SPRING ST, TUPELO, MS 38804-4853
(662) 841-8020
(662) 841-8021
Mailing address
302 S SPRING ST, TUPELO, MS 38804-4853
(662) 841-8020
(662) 841-8021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00656791
—
MS
Enumeration date
12/18/2019
Last updated
12/18/2019
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