Individual
MRS. KATHRYN MICAELA ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1154 S THOMAS ST, TUPELO, MS 38801-5605
(166) 232-2702
Mailing address
1154 S THOMAS ST, TUPELO, MS 38801-5605
(166) 232-2702
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
906332
MS
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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