Individual
RONJA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
202 N 1ST ST, SUITE A, BOONEVILLE, MS 38829-2718
(662) 340-1138
(662) 728-5185
Mailing address
202 N 1ST ST, SUITE A, BOONEVILLE, MS 38829-2718
(662) 340-1138
(662) 728-5185
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R850478
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02852251
—
MS
01
—
302I503061
MEDICARE PTAN
MS
Enumeration date
07/13/2006
Last updated
07/25/2013
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