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Mickie G. Autry, ACNP
Acute Care Nurse Practitioner in Tupelo, Mississippi
NPI 1801848494

Mickie G. Autry is an Acute Care Nurse Practitioner based in Tupelo, MS and is specialized in Acute Care. Mickie G. Autry practices in Tupelo, MS and has the professional credentials of ACNP. The NPI Number for Mickie G. Autry is 1801848494 and holds a License No. R873990 (Mississippi).

The current practice location address for Mickie G. Autry is 830 S Gloster St, Tupelo, MS and can be reached out via phone at 662-377-7100 and via fax at 662-377-5736. You can also correspond with Mickie G. Autry through the mailing address at PO BOX 3488, TUPELO, MS - 38803-3488 (mailing address contact number: 601-326-6401).

Location: 830 S Gloster St, Tupelo, MS, 38803-3488
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Provider Profile Details
NPI Number
1801848494
Provider Name
Mickie G. Autry
Credential
ACNP
Provider Entity Type
Individual
Gender
Female
Address
830 S Gloster St, Tupelo, MS, 38803-3488
Phone Number
662-377-7100
Fax Number
662-377-5736
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07420783 05 MS
P01112717 01 MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
830 S Gloster St
City
State
Zip
38801-4934
Phone Number
662-377-7100
Fax Number
662-377-5736
person
Provider Business Mailing Address Details
Address
830 S Gloster St
City
State
Zip
38801-4934
Phone Number
662-377-7100
Fax Number
662-377-5736
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
R873990 (Mississippi)
Definition
Definition to come...
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