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Individual

CHARITY BREES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP-BC

Contact information

Practice address
4566 SOUTH EASON BLVD, SUITE 310, TUPELO, MS 38801
(601) 984-5261
Mailing address
504 CLINTON CENTER DRIVE, CBO-SUITE 4300, CLINTON, MS 39056
(601) 815-2005

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
854946
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01150068
MS
Enumeration date
02/21/2014
Last updated
03/31/2022
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