Organization
CHRISTINA HOSSLEY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA HOSSLEY (PRESIDENT)
(601) 636-0097
Entity
Organization
Contact information
Practice address
1901 MISSION 66, VICKSBURG, MS 39180-3711
(601) 636-0097
(601) 629-9969
Mailing address
1901 MISSION 66, VICKSBURG, MS 39180-3711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R880464
MS
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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