Individual
FRANCINE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
450 E PRESIDENT AVE, TUPELO, MS 38801-5599
(662) 377-3204
(662) 377-2755
Mailing address
56 DUTCH LN, COLUMBUS, MS 39702-5500
(662) 329-3808
(662) 329-3873
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R65321
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122327
—
MS
Enumeration date
02/27/2006
Last updated
07/08/2007
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