Individual
CATHERINE ELIZABETH BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP-PC
Contact information
Practice address
4881 HWY 589, SUMRALL, MS 39482-3948
(601) 336-9099
(601) 550-6184
Mailing address
PO BOX 566, SUMRALL, MS 39482-0566
(601) 336-9099
(601) 550-6184
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
906028
MS
Other
Enumeration date
03/07/2024
Last updated
04/09/2024
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