Individual
MRS. NANCY J. WILLIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
4213 LAKELAND DR, FLOWOOD, MS 39232-9212
(601) 420-2353
(601) 420-2352
Mailing address
4213 LAKELAND DR, FLOWOOD, MS 39232-9212
(601) 420-2353
(601) 420-2352
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R857627
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00783551
—
MS
Enumeration date
08/20/2012
Last updated
12/12/2013
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