Individual
ELIZABETH FEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 BROAD AVE, GULFPORT, MS 39501-3603
(228) 863-1132
Mailing address
PO BOX 6705, GULFPORT, MS 39506-6705
(228) 865-1330
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
911717
MS
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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