Individual
RACHEL PRUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
3714 HIGHWAY 72 W, CORINTH, MS 38834-8556
(662) 293-1575
Mailing address
3714 HIGHWAY 72 W, CORINTH, MS 38834-8556
(662) 293-1575
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R879554
MS
Other
Enumeration date
04/08/2015
Last updated
04/08/2015
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