Individual
MISTY LEIGH GLIDEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8 FRONT ST, BELMONT, MS 38827-7764
(662) 454-1170
(662) 454-1062
Mailing address
PO BOX 20, BELMONT, MS 38827-0020
(662) 454-1170
(662) 454-1062
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905047
MS
Other
Enumeration date
12/21/2021
Last updated
05/04/2022
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