Organization · Type 2 NPI
Marla Mathis, FNP
Family Nurse Practitioner · Petal, MS
NPI number
1285083238
Active
Practice location
130 N Main St
Petal, MS 39465-2345
Fax (601) 450-0186
Mailing address
300 S 21st Ave
Hattiesburg, MS 39401-7319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 852476 (MS) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1285083238
Marla Mathis, FNP's National Provider Identifier is 1285083238, issued on Jun 10, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Petal, MS. The record was last updated on Jun 10, 2016.