Individual
BONNIE F DERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6674 GOODMAN RD, OLIVE BRANCH, MS 38654-7056
(662) 985-7806
Mailing address
6674 GOODMAN RD, OLIVE BRANCH, MS 38654-7056
(662) 985-7806
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F09190799
MS
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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