Individual
ELIZABETH CROSBY COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-FNP-BC
Contact information
Practice address
1391 BROAD AVE, GULFPORT, MS 39501-2419
(228) 863-8868
(228) 863-8956
Mailing address
1391 BROAD AVE, GULFPORT, MS 39501-2419
(228) 863-8956
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R884282
MS
Other
Enumeration date
07/18/2014
Last updated
06/14/2024
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