Individual
GLENNA PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7521
Mailing address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7521
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
886561
MS
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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