Individual
MRS. ROSE ELLEN CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APMHNP
Contact information
Practice address
3407 SHAMROCK CT, GAUTIER, MS 39553-5337
(228) 497-0690
(228) 497-1363
Mailing address
3407 SHAMROCK CT, GAUTIER, MS 39553-5337
(601) 288-8050
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R835932
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018214
—
MS
05
—
00126966
—
MS
Enumeration date
09/16/2006
Last updated
07/19/2013
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