Individual
MARCIA REBEKAH GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
216 HIGHWAY 51 N, BATESVILLE, MS 38606-2311
(662) 563-1858
(662) 563-0617
Mailing address
510 HIGHWAY 322, CLARKSDALE, MS 38614-4717
(662) 624-4292
(662) 624-4354
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
901364
MS
363L00000X
Nurse Practitioner
901364
MS
Other
Enumeration date
04/13/2016
Last updated
06/01/2020
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