Individual
MARION RENEE VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
848 S MADISON ST, TUPELO, MS 38801-4905
(662) 844-4177
(662) 844-3877
Mailing address
848 S MADISON ST, TUPELO, MS 38801-4905
(662) 844-4177
(662) 844-3877
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902398
MS
Other
Enumeration date
07/14/2018
Last updated
07/14/2018
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