Individual
MRS. MIRIAM RANDOLPH SHUFELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
348 CROSSGATES BLVD STE 2200, BRANDON, MS 39042-2616
(601) 825-2466
Mailing address
380 ELDORADO LAKE DR, PEARL, MS 39208-9328
(601) 951-2956
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902099
MS
Other
Enumeration date
06/18/2017
Last updated
07/29/2021
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