Individual
MARLISIA PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4913 BRAND UNA RD, PRAIRIE, MS 39756-9428
(662) 231-3238
Mailing address
4913 BRAND UNA RD, PRAIRIE, MS 39756-9428
(662) 231-3238
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
901436
MS
Other
Enumeration date
03/04/2016
Last updated
02/13/2017
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