Individual
MITZI NICHOLS FLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
613 MARQUETTE RD, BRANDON, MS 39042-3038
(601) 825-8800
(601) 824-1681
Mailing address
PO BOX 88, BRANDON, MS 39043-0088
(601) 825-8800
(601) 824-1681
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
862958
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02623831
—
MS
05
—
02785041
—
MS
Enumeration date
10/22/2015
Last updated
04/25/2017
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