institution
Glendora Clinic
Family Nurse Practitioner in Glendora, Mississippi
NPI 1316101843

Glendora Clinic is a Family Nurse Practitioner based in Glendora, MS and is specialized in Family. Glendora Clinic practices in Glendora, MS. The NPI Number for Glendora Clinic is 1316101843 and holds a License No. R767376 (Mississippi).

The current practice location address for Glendora Clinic is 44 Westbrooks Ave, Glendora, MS and can be reached out via phone at 662-375-8878.

Location: 44 Westbrooks Ave, Glendora, MS, 38928-0189
institution
Provider Profile Details
NPI Number
1316101843
Provider Name
Glendora Clinic
Credential
Provider Entity Type
Organization
Address
44 Westbrooks Ave, Glendora, MS, 38928-0189
Phone Number
662-375-8878
Fax Number
Provider Enumeration Date
07/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09014072 05 MS
institution
Provider Business Practice Location Address Details
Address
44 Westbrooks Ave
City
State
Zip
38928
Phone Number
662-375-8878
Fax Number
person
Provider Business Mailing Address Details
Address
44 Westbrooks Ave
City
State
Zip
38928
Phone Number
662-375-8878
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R767376 (Mississippi)
Definition
Definition to come...
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