Organization
HORACE E. GLOVER MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARITA GLOVER JACKSON FNP (OWNER)
(662) 316-1334
Entity
Organization
Contact information
Practice address
14757 S JACKSON ST, DURANT, MS 39063-3922
(662) 316-1334
Mailing address
14757 S JACKSON ST, DURANT, MS 39063-3922
(662) 316-1334
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R856333
MS
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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