Individual
NATALIE BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
232 MARKET ST, FLOWOOD, MS 39232-3339
(337) 991-9276
(337) 943-0846
Mailing address
1509 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 408-0797
(337) 943-0830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
29776
TN
363LF0000X
Family Nurse Practitioner
000236
MS
363LF0000X
Family Nurse Practitioner
Primary
29776
TN
Other
Enumeration date
07/20/2021
Last updated
08/31/2021
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