Individual
MARSHAY DENITRIA REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1668 W PEACE ST, CANTON, MS 39046-5332
(601) 859-5213
Mailing address
1668 W PEACE ST, CANTON, MS 39046-5332
(601) 859-5213
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906329
MS
Other
Enumeration date
11/29/2023
Last updated
05/31/2024
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