Individual
VICTORIA STURDIVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1200 CENTRAL ST, WATER VALLEY, MS 38965-1904
(662) 714-4460
(662) 714-4480
Mailing address
1200 CENTRAL ST, WATER VALLEY, MS 38965-1904
(662) 714-4460
(662) 714-4480
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901574
MS
Other
Enumeration date
11/17/2016
Last updated
05/20/2021
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