Individual
AVERY NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 LEXINGTON DR STE A, GLUCKSTADT, MS 39110-6986
(601) 707-3771
(601) 707-3751
Mailing address
119 GREENS VIEW DR, MADISON, MS 39110-8050
(601) 421-1075
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906808
MS
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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