Individual
MICHELLE THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6270
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6270
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F1216629
MS
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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