Individual
KRISTI M COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
130 OAK PARK DR, FOREST, MS 39074-3016
(601) 701-8883
Mailing address
130 OAK PARK DR, FOREST, MS 39074-3016
(601) 701-8883
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
906665
MS
363LG0600X
Gerontology Nurse Practitioner
906665
MS
363LP2300X
Primary Care Nurse Practitioner
906665
MS
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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