Individual
ANDREA SUGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2705 HIGHWAY 51 S, HERNANDO, MS 38632-2634
(662) 449-1971
Mailing address
10655 LOBLOLLY ST, OLIVE BRANCH, MS 38654-4347
(901) 482-8977
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN878451
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN878451
—
MS
Enumeration date
01/14/2021
Last updated
01/14/2021
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