Individual
BRENDA HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. P. N.
Contact information
Practice address
390 COUNTY ROAD 3501, NEW SITE, MS 38859-9579
(662) 728-5427
Mailing address
390 COUNTY ROAD 3501, NEW SITE, MS 38859-9579
(662) 728-5427
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P205656
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770279
—
MS
Enumeration date
01/01/2007
Last updated
07/09/2007
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