Individual
ELLEN MCGUFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
102 DOCTORS PARK, STARKVILLE, MS 39759-2570
(662) 323-0999
(662) 324-0250
Mailing address
102 DOCTORS PARK, STARKVILLE, MS 39759-2570
(662) 323-0999
(662) 324-0250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R627305
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116552
—
MS
01
—
09015837
GROUP'S MEDICAID NUMBER
MS
Enumeration date
08/11/2006
Last updated
07/08/2007
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