Individual
MR. ZANE AMAZIAH COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
201 W MAIN ST, TUPELO, MS 38804-3917
(888) 731-7611
Mailing address
1229 ERNEST PIPKINS RD, LUCEDALE, MS 39452-5562
(601) 508-9955
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905736
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
905736
MS BOARD OF NURSING
MS
Enumeration date
03/01/2023
Last updated
03/07/2023
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