Individual
ROBERT MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
24978 MS HIGHWAY, MATHISTON, MS 39752-9220
(662) 662-3089
(662) 634-3063
Mailing address
24978 MS HIGHWAY, MATHISTON, MS 39752-9220
(662) 662-3089
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07230167
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE
90622
MS
Enumeration date
08/29/2023
Last updated
08/29/2023
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