person
Susan L Dubose, FNP-BC
Family Nurse Practitioner in Sumrall, Mississippi
NPI 1619274032

Susan L Dubose is a Family Nurse Practitioner based in Hattiesburg, MS and is specialized in Family. Susan L Dubose practices in Sumrall, MS and has the professional credentials of FNP-BC. The NPI Number for Susan L Dubose is 1619274032 and holds a License No. R872039 (Mississippi).

The current practice location address for Susan L Dubose is 1238 Highway 42, Sumrall, MS and can be reached out via phone at 601-758-3100.

Location: 1238 Highway 42, Sumrall, MS, 39401-7246
person
Provider Profile Details
NPI Number
1619274032
Provider Name
Susan L Dubose
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1238 Highway 42, Sumrall, MS, 39401-7246
Phone Number
601-758-3100
Fax Number
Provider Enumeration Date
02/21/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12214870 01 MS C A Q H PROVIDER NUMBER
926646 01 MS AETNA
03388585 05 MS
institution
Provider Business Practice Location Address Details
Address
1238 Highway 42
City
State
Zip
39482-9519
Phone Number
601-758-3100
Fax Number
person
Provider Business Mailing Address Details
Address
1238 Highway 42
City
State
Zip
39482-9519
Phone Number
601-758-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R872039 (Mississippi)
Definition
Definition to come...
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