Individual
MACY RENEE UPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 MOCKINGBIRD CIR, BRANDON, MS 39047-7363
(985) 860-2087
Mailing address
215 KATHERINE DR STE A, FLOWOOD, MS 39232-9588
(601) 665-4162
(888) 398-1151
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
146975
LA
363LA2100X
Acute Care Nurse Practitioner
Primary
905168
MS
Other
Enumeration date
12/09/2021
Last updated
09/15/2025
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