Individual
REBECCA SUZANNE PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-3486
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-3486
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
906619
MS
Other
Enumeration date
04/09/2024
Last updated
10/22/2025
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