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Individual

MR. DAVID BENSON SUMERFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC, PMHNP

Contact information

Practice address
499 GLOSTER CREEK VLG, SUITE D-1, TUPELO, MS 38801-4600
(662) 690-8007
Mailing address
PO BOX 305, SMITHVILLE, MS 38870-0305
(662) 690-8007
(662) 651-4658

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R884013
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
884013
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08725789
MS
Enumeration date
11/13/2009
Last updated
05/07/2025
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