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Wanderful Porter, FNP-BC
Primary Care Nurse Practitioner in Tupelo, Mississippi
NPI 1407833221

Wanderful Porter is a Primary Care Nurse Practitioner based in Tupelo, MS and is specialized in Primary Care. Wanderful Porter practices in Tupelo, MS and has the professional credentials of FNP-BC. The NPI Number for Wanderful Porter is 1407833221 and holds a License No. R748355 (Mississippi).

The current practice location address for Wanderful Porter is 602 Brunson Dr, Tupelo, MS and can be reached out via phone at 662-680-3855 and via fax at 662-680-3372.

Location: 602 Brunson Dr, Tupelo, MS, 38801-4947
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Provider Profile Details
NPI Number
1407833221
Provider Name
Wanderful Porter
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
602 Brunson Dr, Tupelo, MS, 38801-4947
Phone Number
662-680-3855
Fax Number
662-680-3372
Provider Enumeration Date
12/22/2005
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00124068 05 MS
institution
Provider Business Practice Location Address Details
Address
602 Brunson Dr
City
State
Zip
38801-4947
Phone Number
662-680-3855
Fax Number
662-680-3372
person
Provider Business Mailing Address Details
Address
602 Brunson Dr
City
State
Zip
38801-4947
Phone Number
662-680-3855
Fax Number
662-680-3372
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
R748355 (Mississippi)
Definition
Definition to come...
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