Individual
BARBARA MCMILLIN EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14724 HIGHWAY 15 N, LOUISVILLE, MS 39339-6318
(662) 773-7500
Mailing address
PO BOX 190, LOUISVILLE, MS 39339-0190
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906265
MS
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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