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Mrs. Virgie C Wade, FNP
Family Nurse Practitioner in Shubuta, Mississippi
NPI 1457477481

Virgie C Wade is a Family Nurse Practitioner based in Vossburg, MS and is specialized in Family. Virgie C Wade practices in Shubuta, MS and has the professional credentials of FNP. The NPI Number for Virgie C Wade is 1457477481 and holds a License No. R119030 (Mississippi).

The current practice location address for Virgie C Wade is 130 North High St, Shubuta, MS and can be reached out via phone at 601-687-1391 and via fax at 601-687-0051.

Location: 130 North High St, Shubuta, MS, 39366-9475
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457477481
Provider Name
Virgie C Wade
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
130 North High St, Shubuta, MS, 39366-9475
Phone Number
601-687-1391
Fax Number
601-687-0051
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
011312 05 MS
institution
Provider Business Practice Location Address Details
Address
130 North High St
City
Shubuta
State
Mississippi
Zip
39360
Phone Number
601-687-1391
Fax Number
601-687-0051
person
Provider Business Mailing Address Details
Address
130 North High St
City
Shubuta
State
Mississippi
Zip
39360
Phone Number
601-687-1391
Fax Number
601-687-0051
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R119030 (Mississippi)
Definition
Definition to come...
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