Individual
MRS. BRANDIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1265 CLIFF GOOKIN BLVD, TUPELO, MS 38801-6749
(662) 840-2131
(662) 840-2522
Mailing address
1265 CLIFF GOOKIN BLVD, TUPELO, MS 38801-6749
(662) 840-2131
(662) 840-2522
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R853130
MS
Other
Enumeration date
06/01/2011
Last updated
12/12/2011
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