Individual
BETSY L MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1106 CENTRAL DR, PHILADELPHIA, MS 39350-8972
(601) 656-6921
(601) 656-0381
Mailing address
PO BOX 2106, MERIDIAN, MS 39302-2106
(601) 703-4282
(601) 703-4597
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R853243
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07388396
—
MS
Enumeration date
06/28/2013
Last updated
07/22/2015
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