Individual
ANTONELLA MARCHIONNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1887 SPILLWAY RD, BRANDON, MS 39047-6066
(601) 992-5532
(601) 992-5547
Mailing address
P O BOX 2153 DEPT 1947, BIRMINGHAM, AL 35287-0001
(601) 292-4562
(601) 974-6237
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R876088
MS
Other
Enumeration date
10/28/2014
Last updated
07/17/2018
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