Individual
SONYA R BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
4566 S EASON BLVD, TUPELO, MS 38801-6540
(662) 231-3260
Mailing address
4566 S EASON BLVD, TUPELO, MS 38801-6540
(662) 231-3260
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R872248
MS
363LN0000X
Neonatal Nurse Practitioner
Primary
905980
MS
Other
Enumeration date
03/08/2021
Last updated
11/19/2023
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