Individual
BROOKE SCALLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
121 E BAKER ST, INDIANOLA, MS 38751-2450
(662) 887-5235
Mailing address
5025 HIGHWAY 49, TUTWILER, MS 38963-5184
(662) 902-6975
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
902267
MS
207Q00000X
Family Medicine Physician
Primary
902267
MS
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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