Individual
DR. MARY HANNAH BUCKLEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(601) 354-4488
(601) 351-5980
Mailing address
14724 HIGHWAY 15 N, LOUISVILLE, MS 39339-6318
(662) 773-7500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
904350
MS
Other
Enumeration date
07/14/2021
Last updated
02/05/2024
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