Individual
MARILYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
228 STARLYN AVE, NEW ALBANY, MS 38652-2428
(662) 539-7383
(662) 539-7661
Mailing address
100 COUNTY ROAD 405, OXFORD, MS 38655-9205
(662) 607-1460
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
902598
MS
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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