Individual
MANDY YVETTE MUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1008 AZALEA DR, WAYNESBORO, MS 39367-2499
(601) 509-2584
Mailing address
1008 AZALEA DR, WAYNESBORO, MS 39367-2499
(601) 509-2584
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904109
MS
Other
Enumeration date
09/13/2020
Last updated
12/18/2020
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