Individual
VIVIAN ANN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
408 COUNCIL CIR, SUITE C, TUPELO, MS 38801-4949
(662) 377-6332
(662) 377-6330
Mailing address
408 COUNCIL CIR, SUITE C, TUPELO, MS 38801-4949
(662) 377-6332
(662) 377-6330
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R866554
MS
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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