Individual
MARISSA RAE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1199 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
(228) 875-9363
Mailing address
1199 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905816
MS
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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