Individual
MRS. REBECCA CLAIRE NORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.F.N.P.
Contact information
Practice address
302 HOSPITAL RD, FULTON, MS 38843-6002
(662) 862-7047
(662) 862-7053
Mailing address
123 MAIN ST N, AMORY, MS 38821-3416
(662) 256-7114
(662) 256-7116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R869970
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09354827
—
MS
01
—
500002258
MS MEDICARE NO.
MS
Enumeration date
09/05/2006
Last updated
10/31/2012
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