Organization · Type 2 NPI
Marietta Family Clinic, Inc.
Family Nurse Practitioner · Marietta, MS
NPI number
1922032812
Active
Practice location
3 Cr 4050
Marietta, MS 38856
Fax (662) 728-2409
Mailing address
PO Box 56
Marietta, MS 38856-0056
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R853095 (MS) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1922032812
Marietta Family Clinic, Inc.'s National Provider Identifier is 1922032812, issued on Jul 10, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Marietta, MS. The record was last updated on Jul 28, 2025.