Individual
MRS. BOBBY NICOLE SHOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6300 E LAKE BLVD STE 201, VANCLEAVE, MS 39565-6771
(228) 230-2663
(228) 546-3257
Mailing address
6300 E LAKE BLVD STE 301, VANCLEAVE, MS 39565-6771
(228) 230-2663
(228) 206-1192
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
15437
TN
363LF0000X
Family Nurse Practitioner
Primary
903285
MS
Other
Enumeration date
02/04/2011
Last updated
09/01/2023
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