Individual
CORI BITNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R867554
MS
363LA2100X
Acute Care Nurse Practitioner
Primary
902162
MS
Other
Enumeration date
03/02/2017
Last updated
07/10/2017
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