Individual
MARILYN HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HWY 30 W, NEW ALBANY, MS 38652-3112
(662) 538-2150
Mailing address
200 HWY 30 W, NEW ALBANY, MS 38652-3112
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
884947
MS
363LF0000X
Family Nurse Practitioner
884947
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62-1795107
EMPLOYEE IDENTIFICATION NUMBER
—
Enumeration date
10/16/2015
Last updated
10/16/2015
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