Individual
MRS. ELIZABETH BURRIS MCCRARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5459
(601) 268-5733
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5459
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R875539
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01823854
—
MS
01
—
2765313
CIGNA
MS
01
—
2908971
UNITED HEALTHCARE
MS
01
—
9549215
AETNA
MS
01
—
972789
WINDSOR
MS
01
—
P01334830
RAILROAD MEDICARE
—
Enumeration date
12/27/2007
Last updated
08/11/2020
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