Individual
TERESA S MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6766 HWY 98W, STE 1, HATTIESBURG, MS 39402
(601) 550-3153
Mailing address
15 KEYSTONE DR STE E, HATTIESBURG, MS 39402-6124
(601) 550-3153
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905874
MS
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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