Individual
MS. BONNIE LEE MOREHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
204 DUVAL ST, VICKSBURG, MS 39183-8207
(601) 630-0132
Mailing address
204 DUVAL ST, VICKSBURG, MS 39183-8207
(601) 630-0132
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R851964
MS
Other
Enumeration date
09/22/2006
Last updated
10/10/2007
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