Individual
MISS MARY ARMSTRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
4133 NAVAJO RD, JACKSON, MS 39211-6539
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0614929
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05828828
—
MS
Enumeration date
06/28/2014
Last updated
09/26/2014
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