Individual
MRS. REBECCA L BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5306
(601) 984-6904
Mailing address
504 CLINTON CENTER DRIVE, CBO SUITE 4300, CLINTON, MS 39056-4500
(601) 815-2005
(601) 984-6904
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R859551
MS
Other
Enumeration date
01/06/2010
Last updated
12/29/2023
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