Individual
CORISSA MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 E PEELER AVE, STE 277 PMB 1004, SHAW, MS 38773
(662) 931-2797
Mailing address
138 E PEELER AVE, STE 277 PMB 1004, SHAW, MS 38773
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
925891
MS
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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