Individual
ELIZABETH RUDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4250 BETHEL RD, OLIVE BRANCH, MS 38654-8737
(662) 932-9000
Mailing address
4250 BETHEL RD, OLIVE BRANCH, MS 38654-8737
(901) 482-7557
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905601
MS
Other
Enumeration date
09/27/2022
Last updated
10/24/2024
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