Individual
TERRY PLUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
611 ALCORN DR, CORINTH, MS 38834-9388
(662) 293-7677
Mailing address
14 COUNTY ROAD 472, RIENZI, MS 38865-9585
(662) 415-8419
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
874737
MS
363LF0000X
Family Nurse Practitioner
PLUN-3NRJ5C
MS
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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