Individual
MS. REBECCA CAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N., B.C.
Contact information
Practice address
63420 HIGHWAY 25 N, SMITHVILLE, MS 38870
(662) 651-4637
(662) 651-4636
Mailing address
PO BOX 305, SMITHVILLE, MS 38870-0305
(662) 651-4637
(662) 651-4636
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R713597
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R850534
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117536
—
MS
Enumeration date
09/05/2006
Last updated
08/09/2011
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