Individual provider · Type 1 NPI
Catherine Elizabeth Brock, MSN, CPNP-PC
Pediatric Nurse Practitioner · Sumrall, MS
NPI number
1801654520
Active
Practice location
4881 Hwy 589
Sumrall, MS 39482-3948
Fax (601) 550-6184
Mailing address
PO Box 566
Sumrall, MS 39482-0566
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 906028 (MS) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1801654520
Catherine Elizabeth Brock, MSN, CPNP-PC's National Provider Identifier is 1801654520, issued on Mar 7, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Sumrall, MS. The record was last updated on Apr 9, 2024.