Individual
MRS. MARISA NICOLE BARLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
209 N OAK CV, TERRY, MS 39170-8145
(601) 622-1138
Mailing address
209 N OAK CV, TERRY, MS 39170-8145
(601) 622-1138
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904848
MS
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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