Individual
WENDY D GRESSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9431 EASTSIDE DRIVE EXT STE B, NEWTON, MS 39345-8072
(601) 635-2990
(601) 676-0550
Mailing address
1120 E MAIN ST STE 24, PHILADELPHIA, MS 39350-2300
(601) 781-8677
(601) 676-0550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R862286
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05822327
—
MS
Enumeration date
01/11/2014
Last updated
04/22/2021
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