Individual
CYNTHIA B. MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14884 HWY 15, DECATUR, MS 39327
(601) 635-2258
(601) 635-2259
Mailing address
PO BOX 2106, MERIDIAN, MS 39302-2106
(601) 703-4282
(601) 703-4597
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R850875
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00604803
—
MS
Enumeration date
02/02/2011
Last updated
11/07/2013
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