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Individual

MRS. MARY ELIZABETH POUNDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
136 COUNTY ROAD 408, CORINTH, MS 38834-7705
(662) 415-2460
Mailing address
703 ALCORN DR STE 109, CORINTH, MS 38834-9302
(662) 286-1499
(662) 286-9041

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
POUN-HU9NWL
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03833021
MS
01
901355
LICENSE
MS
Enumeration date
10/14/2015
Last updated
07/21/2022
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