Organization
NORTH MISSISSIPPI MEDICAL CENTER
Active
Parent organization
NORTH MISSISSIPPI MEDICAL CENTER
Other names
OB/Gyn Nurse Practitioners
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH MISSISSIPPI MEDICAL CENTER
Authorized official
BRUCE TOPPIN (CORPORATE SECRETARY)
(662) 377-4229
Entity
Organization
Contact information
Practice address
4566 S EASON BLVD, TUPELO, MS 38801-6540
(662) 377-4962
(662) 377-2257
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
(662) 377-2386
(662) 377-2057
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001720372
—
MS
Enumeration date
08/20/2010
Last updated
01/22/2025
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