Individual
MRS. DEBORA FIELDS MCFALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1801 S HARPER RD STE 7, CORINTH, MS 38834-6726
(662) 286-2300
(662) 286-7010
Mailing address
150 COUNTY ROAD 255, GLEN, MS 38846-9227
(662) 287-0301
(662) 286-7010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R582662
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00656871
—
MS
05
—
0121943
—
MS
Enumeration date
07/12/2006
Last updated
05/10/2012
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