Doctor Name: | MRS. MARY CARTER STRONG |
NPI Number: | 1114173796 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MSN, FNP-BC |
License Number: | R866163 |
Business Practice Address: | 1040 River Oaks Dr Suite103 Flowood, MS - 392329530 |
Business Phone Number: | 6013262599 |
Business Fax Number: | 6019330852 |
Mailing Address: | Po Box 23996, JACKSON |
State: | MS |
Postal Code: | 392253996 |
Phone Number: | 6012066100 |
Fax Number: | 6012066052 |
NPI Enumeration Date: | 08/14/2008 |
NPI Last Update Date: | 10/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R866163 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |