Individual
MS. DELORIS NEVELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2109 VALLEY OF THE MOON RD, HERMANVILLE, MS 39086-9560
(601) 535-2159
(601) 535-2159
Mailing address
2109 VALLEY OF THE MOON RD, P.O. BOX 246, HERMANVILLE, MS 39086-9560
(601) 535-2159
(601) 535-2159
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P304139
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00770393
PROVIDER NO.
MS
Enumeration date
05/06/2007
Last updated
07/08/2007
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