Organization
NEURO CARE NP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY TAYLOR (CREDENTIALING MGR)
(662) 317-8282
Entity
Organization
Contact information
Practice address
609 BRUNSON DR, TUPELO, MS 38801-4948
(662) 205-4486
(662) 205-4588
Mailing address
609 BRUNSON DR, TUPELO, MS 38801-4948
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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