Individual
MS. SUSAN FRETWELL GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
144 S THOMAS ST, TUPELO, MS 38801-5312
(662) 871-5590
(662) 862-3014
Mailing address
144 S THOMAS ST, TUPELO, MS 38801-5312
(662) 871-5590
(662) 862-3014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R883880
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051078145
BLUE CROSS
AL
05
—
08488768
—
MS
Enumeration date
08/30/2006
Last updated
04/14/2015
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