Individual
MICHELLE GARDNER BRILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
341 E MAIN ST STE A1, TUPELO, MS 38804-4040
(662) 807-4232
Mailing address
1301 S ADAMS ST, FULTON, MS 38843-8862
(662) 862-4422
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F12190851
MS
Other
Enumeration date
01/07/2020
Last updated
06/12/2020
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