Individual
MALLORI MCBRYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
961 S GLOSTER ST, TUPELO, MS 38801-6343
(662) 377-4550
(662) 377-4425
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
(662) 377-3204
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906242
MS
Other
Enumeration date
08/30/2023
Last updated
04/02/2024
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