Organization
GLOSTER NORTH FAMILY MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ANNE MASON APRN, BC (OWNER)
(662) 841-5086
Entity
Organization
Contact information
Practice address
1714 N GLOSTER ST, TUPELO, MS 38804-1216
(662) 841-5086
(662) 841-5088
Mailing address
1714 N GLOSTER ST, TUPELO, MS 38804-1216
(662) 841-5086
(662) 841-5088
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R866369
MS
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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