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Shirley C Page, FNP
Family Nurse Practitioner in Hattiesburg, Mississippi
NPI 1730295619

Shirley C Page is a Family Nurse Practitioner based in Hattiesburg, MS and is specialized in Family. Shirley C Page practices in Hattiesburg, MS and has the professional credentials of FNP. The NPI Number for Shirley C Page is 1730295619 and holds a License No. R634875 (Mississippi).

The current practice location address for Shirley C Page is 415 S 28Th Ave, Hattiesburg, MS and can be reached out via phone at 601-268-5700 and via fax at 601-268-5777.

Location: 415 S 28Th Ave, Hattiesburg, MS, 39401-7246
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Provider Profile Details
NPI Number
1730295619
Provider Name
Shirley C Page
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
415 S 28Th Ave, Hattiesburg, MS, 39401-7246
Phone Number
601-268-5700
Fax Number
601-268-5777
Provider Enumeration Date
08/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09550526 05 MS
812683366A 05 GA
9724412 01 MS AETNA
P00974932 01 MS RAILROAD MEDICARE
P00622808 01 MS RAILROAD MEDICARE
P00815523 01 MS RAILROAD MCARE THRU HCCN
1049336 05 LA
institution
Provider Business Practice Location Address Details
Address
415 S 28Th Ave
City
State
Zip
39401-7246
Phone Number
601-268-5700
Fax Number
601-268-5777
person
Provider Business Mailing Address Details
Address
415 S 28Th Ave
City
State
Zip
39401-7246
Phone Number
601-268-5700
Fax Number
601-268-5777
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R634875 (Mississippi)
Definition
Definition to come...
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