Individual
MRS. VIVIEN PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(601) 426-4507
(601) 426-4228
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 399-6167
(601) 399-6281
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R559415
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126965
—
MS
Enumeration date
06/08/2006
Last updated
02/11/2014
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