Individual
MRS. GENA ANNE VAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
474 W BANKHEAD ST, NEW ALBANY, MS 38652-3319
(662) 534-7777
(662) 534-3050
Mailing address
474 W BANKHEAD ST, NEW ALBANY, MS 38652-3319
(662) 534-7777
(662) 534-3050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R518921
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00112954
—
MS
Enumeration date
07/10/2006
Last updated
07/08/2007
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