Individual
FELICIA GATHINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4579 S EASON BLVD STE A, TUPELO, MS 38801-6539
(662) 377-7590
Mailing address
4579 S EASON BLVD STE A, TUPELO, MS 38801-6539
(662) 377-7590
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
903698
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
903698
MS
Other
Enumeration date
12/18/2019
Last updated
12/19/2019
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