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Ms. Marla V Mathis, FNP-BC
Family Nurse Practitioner in Hattiesburg, Mississippi
NPI 1972662427

Marla V Mathis is a Family Nurse Practitioner based in Hattiesburg, MS and is specialized in Family. Marla V Mathis practices in Hattiesburg, MS and has the professional credentials of FNP-BC. The NPI Number for Marla V Mathis is 1972662427 and holds a License No. R852476 (Mississippi).

The current practice location address for Marla V Mathis is 1501 Adeline St Ste 3, Hattiesburg, MS and can be reached out via phone at 601-336-8970 and via fax at 601-292-6326.

Location: 1501 Adeline St Ste 3, Hattiesburg, MS, 39401-6260
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Provider Profile Details
NPI Number
1972662427
Provider Name
Marla V Mathis
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1501 Adeline St Ste 3, Hattiesburg, MS, 39401-6260
Phone Number
601-336-8970
Fax Number
601-292-6326
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000926271 05 MS
447640ZWDF 01 MEDICARE INDIVIDUAL PTAN
institution
Provider Business Practice Location Address Details
Address
1501 Adeline St Ste 3
City
State
Zip
39401-6260
Phone Number
601-336-8970
Fax Number
601-292-6326
person
Provider Business Mailing Address Details
Address
1501 Adeline St Ste 3
City
State
Zip
39401-6260
Phone Number
601-336-8970
Fax Number
601-292-6326
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R852476 (Mississippi)
Definition
Definition to come...
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