Individual
CASSIE BRADLEY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11145 HIGHWAY 6 W, THAXTON, MS 38871-9024
(662) 489-8500
Mailing address
4976 NESBIT RD, NESBIT, MS 38651-8402
(662) 419-4694
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905464
MS
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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