Organization
FAMILY CLINIC OF FALKNER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA L QUINN FNP-C (NURSE PRACTITIONER)
(662) 512-0139
Entity
Organization
Contact information
Practice address
10150 CR 200, FALKNER, MS 38629-0131
(662) 512-0139
(662) 512-0438
Mailing address
P O BOX 131, FALKNER, MS 38629-0131
(662) 512-0139
(662) 512-0438
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R764359
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03381311
—
MS
Enumeration date
09/13/2011
Last updated
06/26/2012
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