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MRS. ADRIENNE SISSON FULTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 389-4500
(601) 389-4462
Mailing address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 389-4500
(601) 389-4462

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
906369
MS

Other

Enumeration date
11/29/2023
Last updated
12/16/2024
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