person
Phyllis Fiveash, CFNP
Family Nurse Practitioner in Corinth, Mississippi
NPI 1689996282

Phyllis Fiveash is a Family Nurse Practitioner based in Corinth, MS and is specialized in Family. Phyllis Fiveash practices in Corinth, MS and has the professional credentials of CFNP. The NPI Number for Phyllis Fiveash is 1689996282 and holds a License No. R871915 (Mississippi).

The current practice location address for Phyllis Fiveash is 2001 State Dr, Corinth, MS and can be reached out via phone at 662-286-3694 and via fax at 901-685-9718.

Location: 2001 State Dr, Corinth, MS, 38834-9073
person
Provider Profile Details
NPI Number
1689996282
Provider Name
Phyllis Fiveash
Credential
CFNP
Provider Entity Type
Individual
Gender
Female
Address
2001 State Dr, Corinth, MS, 38834-9073
Phone Number
662-286-3694
Fax Number
901-685-9718
Provider Enumeration Date
02/23/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05170544 05 MS
institution
Provider Business Practice Location Address Details
Address
2001 State Dr
City
State
Zip
38834-9324
Phone Number
662-286-3694
Fax Number
901-685-9718
person
Provider Business Mailing Address Details
Address
2001 State Dr
City
State
Zip
38834-9324
Phone Number
662-286-3694
Fax Number
901-685-9718
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R871915 (Mississippi)
Definition
Definition to come...
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