Individual
MRS. KIMBERLY FAYE GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4996
(662) 377-3270
(662) 377-4352
Mailing address
139 PLEASANT RDG, MOOREVILLE, MS 38857-5001
(662) 231-0741
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903881
MS
363LF0000X
Family Nurse Practitioner
F02200321
MS
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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