Individual
ANNIE B MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
768 AVERY BLVD N, RIDGELAND, MS 39157-5219
(601) 750-6113
Mailing address
PO BOX 721118, BYRAM, MS 39272-1118
(601) 750-6113
(769) 572-5656
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903330
MS
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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