person
Susan D Bobo
Psychiatric/Mental Health Nurse Practitioner in Meridian, Mississippi
NPI 1053419820

Susan D Bobo is a Psychiatric/Mental Health Nurse Practitioner based in Meridian, MS and is specialized in Psychiatric/Mental Health. Susan D Bobo practices in Meridian, MS. The NPI Number for Susan D Bobo is 1053419820 and holds a License No. R802552 (Mississippi).

The current practice location address for Susan D Bobo is 1818 College Drive, Meridian, MS and can be reached out via phone at 601-581-8482 and via fax at 601-483-5543.

Location: 1818 College Drive, Meridian, MS, 39304-4128
person
Provider Profile Details
NPI Number
1053419820
Provider Name
Susan D Bobo
Credential
Provider Entity Type
Individual
Gender
Female
Address
1818 College Drive, Meridian, MS, 39304-4128
Phone Number
601-581-8482
Fax Number
601-483-5543
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07526012 05 MS
institution
Provider Business Practice Location Address Details
Address
1818 College Drive
City
State
Zip
39307-5429
Phone Number
601-581-8482
Fax Number
601-483-5543
person
Provider Business Mailing Address Details
Address
1818 College Drive
City
State
Zip
39307-5429
Phone Number
601-581-8482
Fax Number
601-483-5543
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R802552 (Mississippi)
Definition
Definition to come...
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