Individual
MRS. SUSAN R OGLESBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5680
(601) 268-5778
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5680
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R784076
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122554
—
MS
Enumeration date
06/10/2005
Last updated
07/23/2020
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