Individual
MARLA N NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
54 SERGEANT PRENTISS DR, NATCHEZ, MS 39120-4726
(601) 433-2100
Mailing address
445 MAIN STREET, MEADVILLE, MS 39653
(601) 384-3720
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06630
LA
363LF0000X
Family Nurse Practitioner
R823883
MS
363LF0000X
Family Nurse Practitioner
RN080053-AP06630
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09332548
—
MS
Enumeration date
07/27/2012
Last updated
05/13/2021
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