Organization · Type 2 NPI
Terry Family Medical Clinic
Family Nurse Practitioner · Terry, MS
NPI number
1063629376
Active
Practice location
120 W Raymond Street
Terry, MS 39170-0970
Fax (601) 878-5164
Mailing address
PO Box 370
Terry, MS 39170-0370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1063629376
Terry Family Medical Clinic's National Provider Identifier is 1063629376, issued on May 17, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Terry, MS. The record was last updated on Aug 22, 2020.