Anne P Berthold F.N.P.

NPI 1821092479 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1821092479
Gender Female
Enumeration Date 06/10/2005
Last Updated 12/02/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
1227 N STATE ST
STE 101
JACKSON MS, 39202-2002, US
Phone (601) 355-2485
Fax (601) 353-1463
Business Location
1227 N STATE ST
STE 101
JACKSON MS, 39202-2002, US
Phone (601) 355-2485
Fax (601) 353-1463
Toxanomy
Taxonomy Code 363LF0000X
License State Mississippi
License Number R845073
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According to our database, Anne P Berthold F.N.P. NPI is 1821092479, taxonomy code is 363LF0000X and license number is R845073, license state is located at Mississippi. Anne P Berthold F.N.P. physically located at 1227 N State St, Jackson MS, 39202-2002. NPI Number Anne P Berthold F.N.P. has the Individual type.

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1821092479 NPI number is provided on an as is basis without warranty of any kind. 1821092479 is maintained by the National Plan & Provider Enumeration System. The contents of Anne P Berthold F.N.P. are for informational purposes only.