Individual
MRS. TRINA LANE NELMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
611 ALCORN DR, CORINTH, MS 38834-9321
(662) 293-1160
(662) 293-4254
Mailing address
611 ALCORN DR, CORINTH, MS 38834-9321
(662) 293-1160
(662) 293-4254
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R613703
MS
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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