PROVIDENCE HEALTH, PLLC

Nurse Practitioner

NPI: 1134795628Organization

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

Contact & Hours

Address: 7075 GOLDEN OAKS LOOP W STE 10
SOUTHAVEN, MS 38671
Phone: (901) 486-0439

Quick Facts

NPI: 1134795628
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

Are you this provider?

Claim Your Profile