Individual
MARSHA LYNN AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
Mailing address
4311 BLAINE CIR, BYRAM, MS 39272-4475
(601) 376-0856
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R867239
MS
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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