Organization
OXFORD FAMILY CLINIC,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CULLEN (FNP)
(662) 238-7860
Entity
Organization
Contact information
Practice address
1109 N LAMAR BLVD, SUITE 1, OXFORD, MS 38655-2861
(662) 238-7860
(662) 238-7871
Mailing address
1914 UNIVERSITY AVE, OXFORD, MS 38655-4114
(662) 238-7860
(662) 238-7871
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R857620
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04105296
—
MS
Enumeration date
08/18/2009
Last updated
03/15/2021
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