Individual
CANDICE SUMRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
300 RAWLS DR STE 200, MCCOMB, MS 39648-2871
(601) 249-1570
(601) 249-1544
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 250-4366
(601) 250-4367
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F12200898
MS
363LF0000X
Family Nurse Practitioner
Primary
904376
MS
Other
Enumeration date
03/23/2021
Last updated
07/23/2021
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