Individual
MEGAN EILEEN PEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1706 W 12TH ST, LAUREL, MS 39440-2559
(601) 369-2028
Mailing address
1706 W 12TH ST, LAUREL, MS 39440-2559
(601) 369-2028
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
904048
MS
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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