Individual
SABRINA FORTENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
217 DEWEY ST, COLUMBIA, MS 39429-2751
(601) 736-6799
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
881147
MS
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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