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Nicole Marie Fontenot, DO
Student in an Organized Health Care Education/Training Program in Southaven, Mississippi
NPI 1376288233

Nicole Marie Fontenot is a Student in an Organized Health Care Education/Training Program based in Southaven, MS. Nicole Marie Fontenot practices in Southaven, MS and has the professional credentials of DO. The NPI Number for Nicole Marie Fontenot is 1376288233 and holds a License No. (Mississippi).

The current practice location address for Nicole Marie Fontenot is 7601 Southcrest Pkwy, Southaven, MS and can be reached out via phone at 662-772-4696. You can also correspond with Nicole Marie Fontenot through the mailing address at 7601 SOUTHCREST PKWY, SOUTHAVEN, MS - 38671-4742 (mailing address contact number: 662-772-4696).

Location: 7601 Southcrest Pkwy, Southaven, MS, 38671-4742
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376288233
Provider Name
Nicole Marie Fontenot
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
7601 Southcrest Pkwy, Southaven, MS, 38671-4742
Phone Number
662-772-4696
Fax Number
Provider Enumeration Date
05/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7601 Southcrest Pkwy
City
Southaven
State
Mississippi
Zip
38671-4742
Phone Number
662-772-4696
Fax Number
person
Provider Business Mailing Address Details
Address
7601 Southcrest Pkwy
City
Southaven
State
Mississippi
Zip
38671-4742
Phone Number
662-772-4696
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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