Individual
TERESA CREECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 CAROLINA CIR, SENATOBIA, MS 38668-7430
(901) 218-9526
Mailing address
108 CAROLINA CIR, SENATOBIA, MS 38668-7430
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
905653
MS
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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