Individual
JULIE MCCORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-3603
(662) 377-7613
Mailing address
595 KIERSTENS LN, PONTOTOC, MS 38863-7245
(662) 401-2957
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
901710
MS
363LG0600X
Gerontology Nurse Practitioner
901710
MS
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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